How much rates vary
Facilitymedian $1,288 · 10th to 90th $224 to $3,890Professionalmedian $537 · 10th to 90th $224 to $832
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 $223.87 Median $223.87 Typical High $14,454.40 | Facility | None | $223.87 | $223.87 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $2,344.23 | Professional | None | $223.87 | $223.87 | $2,344.23 |
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 $234.42 Median $588.84 Typical High $831.76 | Professional | None | $234.42 | $588.84 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $416.87 Typical High $645.65 | Facility | None | $50.12 | $416.87 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $645.65 | Professional | None | $263.03 | $398.11 | $645.65 |
DeanCare Setting Facility Modifier None Typical Low $218.78 Median $2,818.38 Typical High $5,128.61 | Facility | None | $218.78 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $660.69 | Professional | None | $331.13 | $489.78 | $660.69 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $954.99 Typical High $1,778.28 | Facility | None | $204.17 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $562.34 Typical High $954.99 | Professional | None | $229.09 | $562.34 | $954.99 |
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 $275.42 Median $467.74 Typical High $616.60 | Professional | None | $275.42 | $467.74 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $416.87 | Facility | None | $169.82 | $223.87 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $426.58 Typical High $812.83 | Professional | None | $199.53 | $426.58 | $812.83 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $309.03 Typical High $501.19 | Facility | None | $50.12 | $309.03 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $524.81 | Professional | None | $263.03 | $263.03 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $645.65 | Professional | None | $363.08 | $562.34 | $645.65 |
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 $186.21 Median $501.19 Typical High $870.96 | Professional | None | $186.21 | $501.19 | $870.96 |
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 $112.20 Median $112.20 Typical High $1,174.90 | Professional | 52 · Reduced service | $112.20 | $112.20 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $467.74 | Professional | 53 · Discontinued | $44.67 | $44.67 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $1,737.80 | Professional | 54 · Surgery only | $165.96 | $165.96 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $346.74 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $234.42 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $234.42 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska 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· 3rd of 51
$589
AK $631UT $195
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.