How much rates vary
Facilitymedian $1,259 · 10th to 90th $117 to $2,818Professionalmedian $251 · 10th to 90th $105 to $562
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 $91.20 Median $123.03 Typical High $14,454.40 | Facility | None | $91.20 | $123.03 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $741.31 | Professional | None | $91.20 | $123.03 | $741.31 |
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 $114.82 Median $316.23 Typical High $562.34 | Professional | None | $114.82 | $316.23 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $478.63 | Facility | None | $281.84 | $323.59 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $389.05 | Professional | None | $109.65 | $147.91 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $2,754.23 Typical High $5,128.61 | Facility | None | $97.72 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $295.12 | Professional | None | $147.91 | $213.80 | $295.12 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $1,318.26 Typical High $1,778.28 | Facility | None | $117.49 | $1,318.26 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $426.58 Typical High $912.01 | Professional | None | $120.23 | $426.58 | $912.01 |
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 $141.25 Median $218.78 Typical High $316.23 | Professional | None | $141.25 | $218.78 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $194.98 | Facility | None | $87.10 | $117.49 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $363.08 | Professional | None | $117.49 | $239.88 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $263.03 | Professional | None | $109.65 | $147.91 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $524.81 | Professional | None | $245.47 | $380.19 | $524.81 |
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 $104.71 Median $234.42 Typical High $426.58 | Professional | None | $104.71 | $234.42 | $426.58 |
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 $45.71 Median $45.71 Typical High $61.66 | Facility | 52 · Reduced service | $45.71 | $45.71 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $24.55 | Facility | 53 · Discontinued | $18.20 | $18.20 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $93.33 | Facility | 54 · Surgery only | $69.18 | $69.18 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $18.62 | Facility | 55 · Aftercare only | $13.80 | $13.80 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $12.30 | Facility | 56 · Pre-op care only | $9.12 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $61.66 Typical High $371.54 | Professional | 52 · Reduced service | $45.71 | $61.66 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $24.55 Typical High $147.91 | Professional | 53 · Discontinued | $18.20 | $24.55 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $93.33 Typical High $549.54 | Professional | 54 · Surgery only | $69.18 | $93.33 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $18.62 Typical High $109.65 | Professional | 55 · Aftercare only | $13.80 | $18.62 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $12.30 Typical High $74.13 | Professional | 56 · Pre-op care only | $9.12 | $12.30 | $74.13 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $107.15 Typical High $147.91 | Professional | 51 · Multiple procedures | $74.13 | $107.15 | $147.91 |
Where Wisconsin sits
The same service costs 3.8 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
$263
AK $324FL $85.11
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.