How much rates vary
Facilitymedian $1,202 · 10th to 90th $135 to $3,802Professionalmedian $251 · 10th to 90th $110 to $912
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 $125.89 Median $154.88 Typical High $14,454.40 | Facility | None | $125.89 | $154.88 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $2,290.87 | Professional | None | $117.49 | $144.54 | $2,290.87 |
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 $102.33 Median $346.74 Typical High $1,047.13 | Professional | None | $102.33 | $346.74 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $524.81 Typical High $1,380.38 | Professional | 50 · Both sides | $154.88 | $524.81 | $1,380.38 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $302.00 Typical High $707.95 | Facility | None | $107.15 | $302.00 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $223.87 Typical High $489.78 | Professional | None | $83.18 | $223.87 | $489.78 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $2,630.27 Typical High $5,128.61 | Facility | None | $107.15 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $323.59 | Professional | None | $169.82 | $245.47 | $323.59 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $912.01 Typical High $1,778.28 | Facility | None | $144.54 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $426.58 Typical High $3,162.28 | Professional | None | $128.82 | $426.58 | $3,162.28 |
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 $234.42 Median $257.04 Typical High $426.58 | Professional | None | $234.42 | $257.04 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $371.54 | Facility | None | $102.33 | $138.04 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $489.78 | Professional | None | $123.03 | $239.88 | $489.78 |
Quartz Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $831.76 | Facility | None | $104.71 | $162.18 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $181.97 Typical High $223.87 | Professional | None | $67.61 | $181.97 | $223.87 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None | $426.58 | $426.58 | $537.03 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,096.48 | Professional | None | $457.09 | $812.83 | $1,096.48 |
The Alliance Setting Professional Modifier None Typical Low $144.54 Median $338.84 Typical High $676.08 | Professional | None | $144.54 | $338.84 | $676.08 |
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 $109.65 Median $223.87 Typical High $524.81 | Professional | None | $109.65 | $223.87 | $524.81 |
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 $63.10 Median $63.10 Typical High $77.62 | Facility | 52 · Reduced service | $63.10 | $63.10 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $30.90 | Facility | 53 · Discontinued | $25.12 | $25.12 | $30.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $117.49 | Facility | 54 · Surgery only | $95.50 | $95.50 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $23.44 | Facility | 55 · Aftercare only | $19.05 | $19.05 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $15.49 | Facility | 56 · Pre-op care only | $12.59 | $12.59 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $1,513.56 | Professional | 52 · Reduced service | $63.10 | $77.62 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $602.56 | Professional | 53 · Discontinued | $25.12 | $30.90 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $117.49 Typical High $2,238.72 | Professional | 54 · Surgery only | $95.50 | $117.49 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $23.44 Typical High $446.68 | Professional | 55 · Aftercare only | $19.05 | $23.44 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $15.49 Typical High $302.00 | Professional | 56 · Pre-op care only | $12.59 | $15.49 | $302.00 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 3rd of 51
$324
AK $363FL $97.72
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.