How much rates vary
Facilitymedian $2,630 · 10th to 90th $282 to $4,677Professionalmedian $468 · 10th to 90th $158 to $1,288
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 $109.65 Median $234.42 Typical High $14,454.40 | Facility | None | $109.65 | $234.42 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $234.42 Typical High $1,862.09 | Professional | None | $109.65 | $234.42 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,445.44 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $467.74 Typical High $794.33 | Professional | None | $173.78 | $467.74 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,148.15 | Facility | None | $676.08 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $1,174.90 | Professional | None | $223.87 | $467.74 | $1,174.90 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $2,754.23 Typical High $5,128.61 | Facility | None | $169.82 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $707.95 | Professional | None | $218.78 | $416.87 | $707.95 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $2,691.53 Typical High $4,168.69 | Facility | None | $234.42 | $2,691.53 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $977.24 Typical High $2,454.71 | Professional | None | $338.84 | $977.24 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $3,235.94 | Facility | None | $1,819.70 | $2,951.21 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $186.21 Median $562.34 Typical High $1,258.93 | Professional | None | $186.21 | $562.34 | $1,258.93 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $489.78 | Facility | None | $128.82 | $234.42 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $467.74 Typical High $1,122.02 | Professional | None | $177.83 | $467.74 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $457.09 Typical High $562.34 | Professional | None | $223.87 | $457.09 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $954.99 | Professional | None | $416.87 | $416.87 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,995.26 | Professional | None | $691.83 | $954.99 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,365.16 | Facility | None | $2,089.30 | $2,818.38 | $4,365.16 |
United Setting Professional Modifier None Typical Low $177.83 Median $467.74 Typical High $1,174.90 | Professional | None | $177.83 | $467.74 | $1,174.90 |
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 $54.95 Median $54.95 Typical High $117.49 | Facility | 52 · Reduced service | $54.95 | $54.95 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $46.77 | Facility | 53 · Discontinued | $21.88 | $21.88 | $46.77 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $177.83 | Facility | 54 · Surgery only | $81.28 | $81.28 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $35.48 | Facility | 55 · Aftercare only | $16.22 | $16.22 | $35.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $23.44 | Facility | 56 · Pre-op care only | $10.96 | $10.96 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $117.49 Typical High $933.25 | Professional | 52 · Reduced service | $54.95 | $117.49 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $46.77 Typical High $380.19 | Professional | 53 · Discontinued | $21.88 | $46.77 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $177.83 Typical High $1,412.54 | Professional | 54 · Surgery only | $81.28 | $177.83 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $35.48 Typical High $281.84 | Professional | 55 · Aftercare only | $16.22 | $35.48 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $23.44 Typical High $186.21 | Professional | 56 · Pre-op care only | $10.96 | $23.44 | $186.21 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $204.17 Typical High $354.81 | Professional | 51 · Multiple procedures | $107.15 | $204.17 | $354.81 |
Where Wisconsin sits
The same service costs 3.4 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
$501
AK $525VA $155
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.