How much rates vary
Facilitymedian $1,288 · 10th to 90th $309 to $2,818Professionalmedian $646 · 10th to 90th $214 to $1,738
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 $144.54 Median $316.23 Typical High $14,454.40 | Facility | None | $144.54 | $316.23 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $3,235.94 | Professional | None | $144.54 | $316.23 | $3,235.94 |
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 $229.09 Median $616.60 Typical High $1,047.13 | Professional | None | $229.09 | $616.60 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,548.82 | Facility | None | $912.01 | $1,023.29 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $645.65 Typical High $1,412.54 | Professional | None | $295.12 | $645.65 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $2,754.23 Typical High $5,128.61 | Facility | None | $229.09 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $288.40 Median $575.44 Typical High $933.25 | Professional | None | $288.40 | $575.44 | $933.25 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,318.26 Typical High $1,778.28 | Facility | None | $309.03 | $1,318.26 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $1,288.25 Typical High $2,570.40 | Professional | None | $467.74 | $1,288.25 | $2,570.40 |
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 $389.05 Median $741.31 Typical High $1,023.29 | Professional | None | $389.05 | $741.31 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $645.65 | Facility | None | $173.78 | $316.23 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $676.08 Typical High $1,479.11 | Professional | None | $251.19 | $676.08 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $602.56 Typical High $758.58 | Professional | None | $295.12 | $602.56 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,288.25 | Professional | None | $562.34 | $562.34 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $616.60 Median $1,174.90 Typical High $2,630.27 | Professional | None | $616.60 | $1,174.90 | $2,630.27 |
The Alliance Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $676.08 | Professional | None | $467.74 | $676.08 | $676.08 |
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 $245.47 Median $645.65 Typical High $1,548.82 | Professional | None | $245.47 | $645.65 | $1,548.82 |
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 $72.44 Median $72.44 Typical High $158.49 | Facility | 52 · Reduced service | $72.44 | $72.44 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $63.10 | Facility | 53 · Discontinued | $28.84 | $28.84 | $63.10 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $109.65 Median $109.65 Typical High $234.42 | Facility | 54 · Surgery only | $109.65 | $109.65 | $234.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $46.77 | Facility | 55 · Aftercare only | $21.88 | $21.88 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $31.62 | Facility | 56 · Pre-op care only | $14.45 | $14.45 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $158.49 Typical High $1,621.81 | Professional | 52 · Reduced service | $72.44 | $158.49 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $63.10 Typical High $645.65 | Professional | 53 · Discontinued | $28.84 | $63.10 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $234.42 Typical High $2,398.83 | Professional | 54 · Surgery only | $109.65 | $234.42 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $46.77 Typical High $478.63 | Professional | 55 · Aftercare only | $21.88 | $46.77 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $31.62 Typical High $323.59 | Professional | 56 · Pre-op care only | $14.45 | $31.62 | $323.59 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $288.40 Typical High $467.74 | Professional | 51 · Multiple procedures | $144.54 | $288.40 | $467.74 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in Virginia. 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
$646
AK $676VA $204
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.