How much rates vary
Facilitymedian $1,585 · 10th to 90th $182 to $4,365Professionalmedian $339 · 10th to 90th $162 to $955
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 $117.49 Median $162.18 Typical High $14,454.40 | Facility | None | $117.49 | $162.18 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $1,288.25 | Professional | None | $117.49 | $162.18 | $1,288.25 |
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 $158.49 Median $478.63 Typical High $851.14 | Professional | None | $158.49 | $478.63 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $870.96 | Facility | None | $165.96 | $323.59 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $707.95 | Professional | None | $229.09 | $338.84 | $707.95 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $2,630.27 Typical High $5,128.61 | Facility | None | $147.91 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $467.74 | Professional | None | $229.09 | $331.13 | $467.74 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $3,019.95 | Facility | None | $251.19 | $1,412.54 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $602.56 Typical High $1,348.96 | Professional | None | $194.98 | $602.56 | $1,348.96 |
Network Health Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $3,235.94 | Facility | None | $954.99 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $724.44 | Professional | None | $218.78 | $380.19 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $354.81 | Facility | None | $117.49 | $181.97 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $436.52 Typical High $758.58 | Professional | None | $208.93 | $436.52 | $758.58 |
Quartz Setting Facility Modifier None Typical Low $66.07 Median $213.80 Typical High $1,071.52 | Facility | None | $66.07 | $213.80 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $407.38 | Professional | None | $239.88 | $323.59 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,202.26 | Professional | None | $707.95 | $912.01 | $1,202.26 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $776.25 | Professional | None | $165.96 | $281.84 | $776.25 |
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 $58.88 Median $58.88 Typical High $81.28 | Facility | 52 · Reduced service | $58.88 | $58.88 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $32.36 | Facility | 53 · Discontinued | $23.44 | $23.44 | $32.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $123.03 | Facility | 54 · Surgery only | $87.10 | $87.10 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $24.55 | Facility | 55 · Aftercare only | $17.38 | $17.38 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $16.22 | Facility | 56 · Pre-op care only | $11.75 | $11.75 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $81.28 Typical High $645.65 | Professional | 52 · Reduced service | $58.88 | $81.28 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $32.36 Typical High $257.04 | Professional | 53 · Discontinued | $23.44 | $32.36 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $123.03 Typical High $977.24 | Professional | 54 · Surgery only | $87.10 | $123.03 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $24.55 Typical High $194.98 | Professional | 55 · Aftercare only | $17.38 | $24.55 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $16.22 Typical High $128.82 | Professional | 56 · Pre-op care only | $11.75 | $16.22 | $128.82 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $165.96 Typical High $229.09 | Professional | 51 · Multiple procedures | $114.82 | $165.96 | $229.09 |
Where Wisconsin sits
The same service costs 3.6 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
$407
AK $537KY $148
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.