How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,738 to $16,596Professionalmedian $813 · 10th to 90th $380 to $2,042
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 $11,220.18 Median $13,489.63 Typical High $14,454.40 | Facility | None | $11,220.18 | $13,489.63 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14,791.08 Median $20,892.96 Typical High $30,902.95 | Professional | None (both parts) | $14,791.08 | $20,892.96 | $30,902.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $12,022.64 Typical High $19,952.62 | Facility | None | $5,623.41 | $12,022.64 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $354.81 | $389.05 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $1,148.15 Typical High $2,570.40 | Professional | 26 · Professional part | $331.13 | $1,148.15 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $831.76 Typical High $1,174.90 | Professional | 26 · Professional part | $436.52 | $831.76 | $1,174.90 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $7,943.28 Typical High $14,791.08 | Facility | None | $338.84 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $741.31 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $741.31 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $5,754.40 Typical High $12,882.50 | Facility | None | $954.99 | $5,754.40 | $12,882.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $933.25 Typical High $1,862.09 | Professional | None (both parts) | $380.19 | $933.25 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $977.24 Typical High $1,862.09 | Professional | 26 · Professional part | $380.19 | $977.24 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $9,549.93 Typical High $15,848.93 | Facility | None | $4,073.80 | $9,549.93 | $15,848.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | 26 · Professional part | $426.58 | $426.58 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $588.84 | Facility | None | $269.15 | $338.84 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $912.01 | Professional | None | $380.19 | $660.69 | $912.01 |
Quartz Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $912.01 | Professional | 26 · Professional part | $436.52 | $436.52 | $912.01 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $1,202.26 Median $2,089.30 Typical High $2,884.03 | Professional | 26 · Professional part | $1,202.26 | $2,089.30 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $977.24 Typical High $2,041.74 | Professional | None (both parts) | $354.81 | $977.24 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $977.24 Typical High $2,041.74 | Professional | 26 · Professional part | $354.81 | $977.24 | $2,041.74 |
5 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 Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $10,232.93 | Professional | 52 · Reduced service | $275.42 | $275.42 | $10,232.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $4,168.69 | Professional | 53 · Discontinued | $109.65 | $109.65 | $4,168.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $15,488.17 | Professional | 54 · Surgery only | $416.87 | $416.87 | $15,488.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $3,090.30 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $3,090.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $2,089.30 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $2,089.30 |
Where Wisconsin sits
The same service costs 23.4 times more in Colorado 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
$5,248
CO $6,761KY $288
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.