How much rates vary
Facilitymedian $1,380 · 10th to 90th $263 to $3,890Professionalmedian $468 · 10th to 90th $200 to $741
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 $199.53 Median $1,905.46 Typical High $14,454.40 | Facility | None | $199.53 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $2,238.72 | Professional | None | $186.21 | $199.53 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $524.81 Typical High $741.31 | Professional | None | $208.93 | $524.81 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $562.34 | Facility | None | $275.42 | $426.58 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $575.44 | Professional | None | $234.42 | $354.81 | $575.44 |
DeanCare Setting Facility Modifier None Typical Low $194.98 Median $2,818.38 Typical High $5,128.61 | Facility | None | $194.98 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $588.84 | Professional | None | $295.12 | $436.52 | $588.84 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $954.99 Typical High $1,778.28 | Facility | None | $194.98 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $489.78 Typical High $851.14 | Professional | None | $204.17 | $489.78 | $851.14 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $549.54 | Professional | None | $239.88 | $416.87 | $549.54 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $380.19 Typical High $707.95 | Professional | None | $177.83 | $380.19 | $707.95 |
Quartz Setting Facility Modifier None Typical Low $269.15 Median $331.13 Typical High $478.63 | Facility | None | $269.15 | $331.13 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $467.74 | Professional | None | $234.42 | $234.42 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $575.44 | Professional | None | $346.74 | $501.19 | $575.44 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $165.96 Median $436.52 Typical High $776.25 | Professional | None | $165.96 | $436.52 | $776.25 |
5 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 Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $1,122.02 | Professional | 52 · Reduced service | $100.00 | $100.00 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $457.09 | Professional | 53 · Discontinued | $39.81 | $39.81 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $1,698.24 | Professional | 54 · Surgery only | $147.91 | $147.91 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $338.84 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $223.87 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $223.87 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$525
AK $562TX $178
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.