How much rates vary
Facilitymedian $1,259 · 10th to 90th $107 to $2,818Professionalmedian $257 · 10th to 90th $95 to $813
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 $74.13 Median $123.03 Typical High $14,454.40 | Facility | None | $74.13 | $123.03 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $891.25 | Professional | None | $74.13 | $123.03 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $309.03 Typical High $741.31 | Professional | None | $112.20 | $309.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $537.03 | Facility | None | $316.23 | $354.81 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $436.52 | Professional | None | $95.50 | $162.18 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $2,754.23 Typical High $5,128.61 | Facility | None | $102.33 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $323.59 | Professional | None | $128.82 | $213.80 | $323.59 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $1,318.26 Typical High $1,778.28 | Facility | None | $107.15 | $1,318.26 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $1,071.52 Typical High $3,548.13 | Professional | None | $147.91 | $1,071.52 | $3,548.13 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | None | $158.49 | $223.87 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $194.98 | Facility | None | $77.62 | $128.82 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $416.87 | Professional | None | $109.65 | $229.09 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $234.42 | Professional | None | $95.50 | $162.18 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $630.96 | Professional | None | $354.81 | $354.81 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $851.14 | Professional | None | $346.74 | $478.63 | $851.14 |
The Alliance Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None Typical Low $102.33 Median $245.47 Typical High $478.63 | Professional | None | $102.33 | $245.47 | $478.63 |
11 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 $36.31 Median $36.31 Typical High $61.66 | Facility | 52 · Reduced service | $36.31 | $36.31 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $24.55 | Facility | 53 · Discontinued | $14.79 | $14.79 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $54.95 Median $54.95 Typical High $93.33 | Facility | 54 · Surgery only | $54.95 | $54.95 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $18.62 | Facility | 55 · Aftercare only | $10.96 | $10.96 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $12.30 | Facility | 56 · Pre-op care only | $7.41 | $7.41 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $61.66 Typical High $446.68 | Professional | 52 · Reduced service | $36.31 | $61.66 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $24.55 Typical High $177.83 | Professional | 53 · Discontinued | $14.79 | $24.55 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $93.33 Typical High $676.08 | Professional | 54 · Surgery only | $54.95 | $93.33 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $18.62 Typical High $134.90 | Professional | 55 · Aftercare only | $10.96 | $18.62 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $12.30 Typical High $89.13 | Professional | 56 · Pre-op care only | $7.41 | $12.30 | $89.13 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $107.15 Typical High $162.18 | Professional | 51 · Multiple procedures | $64.57 | $107.15 | $162.18 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Florida. 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.
Wisconsin· 2nd of 51
$269
AK $282FL $87.10
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.