How much rates vary
Facilitymedian $3,020 · 10th to 90th $490 to $6,166Professionalmedian $646 · 10th to 90th $214 to $1,820
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 $158.49 Median $323.59 Typical High $14,454.40 | Facility | None | $158.49 | $323.59 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $2,570.40 | Professional | None | $158.49 | $323.59 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,818.38 | $4,786.30 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $812.83 Typical High $1,949.84 | Professional | None | $288.40 | $812.83 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $2,511.89 | Facility | None | $812.83 | $1,380.38 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $446.68 Typical High $1,202.26 | Professional | None | $204.17 | $446.68 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $3,090.30 Typical High $5,370.32 | Facility | None | $177.83 | $3,090.30 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $891.25 | Professional | None | $323.59 | $501.19 | $891.25 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $2,398.83 Typical High $5,495.41 | Facility | None | $380.19 | $2,398.83 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $977.24 Typical High $1,819.70 | Professional | None | $338.84 | $977.24 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $1,096.48 | Professional | None | $346.74 | $645.65 | $1,096.48 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $630.96 | Facility | None | $151.36 | $309.03 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $630.96 Typical High $1,148.15 | Professional | None | $295.12 | $630.96 | $1,148.15 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $2,884.03 | Facility | None | $724.44 | $1,819.70 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $416.87 Typical High $575.44 | Professional | None | $204.17 | $416.87 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,737.80 | Professional | None | $776.25 | $776.25 | $1,737.80 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $2,511.89 | Professional | None | $741.31 | $1,258.93 | $2,511.89 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $199.53 Median $549.54 Typical High $1,380.38 | Professional | None | $199.53 | $549.54 | $1,380.38 |
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 $77.62 Median $77.62 Typical High $158.49 | Facility | 52 · Reduced service | $77.62 | $77.62 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $64.57 | Facility | 53 · Discontinued | $31.62 | $31.62 | $64.57 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $239.88 | Facility | 54 · Surgery only | $117.49 | $117.49 | $239.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $47.86 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $32.36 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $158.49 Typical High $1,288.25 | Professional | 52 · Reduced service | $77.62 | $158.49 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $64.57 Typical High $524.81 | Professional | 53 · Discontinued | $31.62 | $64.57 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $239.88 Typical High $1,949.84 | Professional | 54 · Surgery only | $117.49 | $239.88 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $47.86 Typical High $389.05 | Professional | 55 · Aftercare only | $23.44 | $47.86 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $32.36 Typical High $257.04 | Professional | 56 · Pre-op care only | $15.85 | $32.36 | $257.04 |
Where Wisconsin sits
The same service costs 3.0 times more in Wisconsin than in Utah. 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· 1st of 51
$851
WI $851UT $288
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.