How much rates vary
Facilitymedian $1,259 · 10th to 90th $309 to $4,467Professionalmedian $851 · 10th to 90th $380 to $1,413
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 $346.74 Median $457.09 Typical High $14,454.40 | Facility | None | $346.74 | $457.09 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $3,467.37 | Professional | None | $346.74 | $457.09 | $3,467.37 |
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 $380.19 Median $912.01 Typical High $1,258.93 | Professional | None | $380.19 | $912.01 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $537.03 Typical High $1,318.26 | Facility | None | $281.84 | $537.03 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,288.25 | Professional | None | $407.38 | $616.60 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $6,606.93 Typical High $13,182.57 | Facility | None | $338.84 | $6,606.93 | $13,182.57 |
DeanCare Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,318.26 | Professional | None | $616.60 | $891.25 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $912.01 Typical High $1,778.28 | Facility | None | $218.78 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,148.15 Typical High $2,187.76 | Professional | None | $446.68 | $1,148.15 | $2,187.76 |
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 $549.54 Median $912.01 Typical High $1,122.02 | Professional | None | $549.54 | $912.01 | $1,122.02 |
Prevea360 Setting Facility Modifier None Typical Low $316.23 Median $416.87 Typical High $758.58 | Facility | None | $316.23 | $416.87 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $912.01 Typical High $1,258.93 | Professional | None | $446.68 | $912.01 | $1,258.93 |
Quartz Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $831.76 | Facility | None | $275.42 | $416.87 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $812.83 | Professional | None | $407.38 | $537.03 | $812.83 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $707.95 | Professional | None | $537.03 | $537.03 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,230.27 | Professional | None | $660.69 | $912.01 | $1,230.27 |
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 $363.08 Median $912.01 Typical High $1,621.81 | Professional | None | $363.08 | $912.01 | $1,621.81 |
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 $169.82 Median $169.82 Typical High $223.87 | Facility | 52 · Reduced service | $169.82 | $169.82 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $91.20 | Facility | 53 · Discontinued | $69.18 | $69.18 | $91.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $338.84 | Facility | 54 · Surgery only | $257.04 | $257.04 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $67.61 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $45.71 | Facility | 56 · Pre-op care only | $34.67 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $223.87 Typical High $1,737.80 | Professional | 52 · Reduced service | $169.82 | $223.87 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $91.20 Typical High $691.83 | Professional | 53 · Discontinued | $69.18 | $91.20 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $338.84 Typical High $2,630.27 | Professional | 54 · Surgery only | $257.04 | $338.84 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $67.61 Typical High $524.81 | Professional | 55 · Aftercare only | $51.29 | $67.61 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $45.71 Typical High $346.74 | Professional | 56 · Pre-op care only | $34.67 | $45.71 | $346.74 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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
$912
AK $977KY $339
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.