How much rates vary
Facilitymedian $3,020 · 10th to 90th $912 to $7,762Professionalmedian $1,259 · 10th to 90th $295 to $5,012
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $208.93 Median $912.01 Typical High $14,454.40 | Facility | None | $208.93 | $912.01 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $912.01 Typical High $5,128.61 | Professional | None | $208.93 | $912.01 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $1,479.11 Typical High $5,623.41 | Professional | None | $407.38 | $1,479.11 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $2,187.76 Typical High $8,317.64 | Professional | 50 · Both sides | $602.56 | $2,187.76 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,398.83 Typical High $3,162.28 | Facility | None | $954.99 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $977.24 Typical High $3,311.31 | Professional | None | $275.42 | $977.24 | $3,311.31 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $3,162.28 Typical High $5,888.44 | Facility | None | $234.42 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $2,511.89 | Professional | None | $426.58 | $676.08 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,818.38 Typical High $8,128.31 | Facility | None | $691.83 | $2,818.38 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $2,511.89 Typical High $5,128.61 | Professional | None | $912.01 | $2,511.89 | $5,128.61 |
Network Health Setting Facility Modifier None Typical Low $1,862.09 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,862.09 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $602.56 Median $1,288.25 Typical High $3,090.30 | Professional | None | $602.56 | $1,288.25 | $3,090.30 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $1,548.82 | Facility | None | $204.17 | $416.87 | $1,548.82 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $954.99 Typical High $3,235.94 | Professional | None | $389.05 | $954.99 | $3,235.94 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $3,090.30 | Facility | None | $758.58 | $1,819.70 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $676.08 Typical High $1,584.89 | Professional | None | $275.42 | $676.08 | $1,584.89 |
Security Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $4,897.79 | Professional | None | $1,047.13 | $1,047.13 | $4,897.79 |
Security Health Setting Professional Modifier None Typical Low $1,174.90 Median $3,467.37 Typical High $7,079.46 | Professional | None | $1,174.90 | $3,467.37 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $288.40 Median $977.24 Typical High $3,801.89 | Professional | None | $288.40 | $977.24 | $3,801.89 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $457.09 | Facility | 52 · Reduced service | $104.71 | $104.71 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $181.97 | Facility | 53 · Discontinued | $41.69 | $41.69 | $181.97 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $691.83 | Facility | 54 · Surgery only | $158.49 | $158.49 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $138.04 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $91.20 | Facility | 56 · Pre-op care only | $20.89 | $20.89 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $457.09 Typical High $2,818.38 | Professional | 52 · Reduced service | $104.71 | $457.09 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $181.97 Typical High $1,122.02 | Professional | 53 · Discontinued | $41.69 | $181.97 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $691.83 Typical High $4,168.69 | Professional | 54 · Surgery only | $158.49 | $691.83 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $138.04 Typical High $851.14 | Professional | 55 · Aftercare only | $31.62 | $138.04 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $91.20 Typical High $562.34 | Professional | 56 · Pre-op care only | $20.89 | $91.20 | $562.34 |
Where Wisconsin sits
The same service costs 3.6 times more in Oklahoma than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
OK $5,677MD $1,565
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.