How much rates vary
Facilitymedian $2,630 · 10th to 90th $275 to $4,677Professionalmedian $468 · 10th to 90th $155 to $1,259
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 $107.15 Median $229.09 Typical High $14,454.40 | Facility | None | $107.15 | $229.09 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $229.09 Typical High $1,698.24 | Professional | None | $107.15 | $229.09 | $1,698.24 |
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 $169.82 Median $457.09 Typical High $776.25 | Professional | None | $169.82 | $457.09 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,122.02 | Facility | None | $660.69 | $758.58 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $457.09 Typical High $1,148.15 | Professional | None | $218.78 | $457.09 | $1,148.15 |
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 $213.80 Median $398.11 Typical High $691.83 | Professional | None | $213.80 | $398.11 | $691.83 |
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 $331.13 Median $954.99 Typical High $1,862.09 | Professional | None | $331.13 | $954.99 | $1,862.09 |
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 $181.97 Median $549.54 Typical High $1,230.27 | Professional | None | $181.97 | $549.54 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $478.63 | Facility | None | $128.82 | $234.42 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $457.09 Typical High $1,071.52 | Professional | None | $177.83 | $457.09 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $562.34 | Professional | None | $223.87 | $446.68 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $933.25 | Professional | None | $416.87 | $416.87 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,862.09 | Professional | None | $549.54 | $851.14 | $1,862.09 |
The Alliance Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | None | $707.95 | $707.95 | $891.25 |
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 $173.78 Median $457.09 Typical High $1,122.02 | Professional | None | $173.78 | $457.09 | $1,122.02 |
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 $53.70 Median $53.70 Typical High $114.82 | Facility | 52 · Reduced service | $53.70 | $53.70 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $45.71 | Facility | 53 · Discontinued | $21.38 | $21.38 | $45.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $173.78 | Facility | 54 · Surgery only | $81.28 | $81.28 | $173.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $34.67 | Facility | 55 · Aftercare only | $16.22 | $16.22 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $22.91 | Facility | 56 · Pre-op care only | $10.72 | $10.72 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $114.82 Typical High $851.14 | Professional | 52 · Reduced service | $53.70 | $114.82 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $45.71 Typical High $338.84 | Professional | 53 · Discontinued | $21.38 | $45.71 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $173.78 Typical High $1,258.93 | Professional | 54 · Surgery only | $81.28 | $173.78 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $34.67 Typical High $257.04 | Professional | 55 · Aftercare only | $16.22 | $34.67 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $22.91 Typical High $169.82 | Professional | 56 · Pre-op care only | $10.72 | $22.91 | $169.82 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $199.53 Typical High $346.74 | Professional | 51 · Multiple procedures | $107.15 | $199.53 | $346.74 |
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 $513VA $151
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.