How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,148 to $15,849Professionalmedian $692 · 10th to 90th $339 to $1,862
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 $28,183.83 | Professional | None (both parts) | $14,791.08 | $20,892.96 | $28,183.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $501.19 | $501.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $7,585.78 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,585.78 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $724.44 | Professional | None (both parts) | $660.69 | $660.69 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $1,023.29 Typical High $2,290.87 | Professional | 26 · Professional part | $295.12 | $1,023.29 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,318.26 | Facility | None | $776.25 | $870.96 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $524.81 | $602.56 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $758.58 Typical High $1,071.52 | Professional | 26 · Professional part | $389.05 | $758.58 | $1,071.52 |
DeanCare Setting Facility Modifier None Typical Low $309.03 Median $7,943.28 Typical High $14,791.08 | Facility | None | $309.03 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $660.69 | $691.83 | $691.83 |
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 $338.84 Median $831.76 Typical High $1,659.59 | Professional | None (both parts) | $338.84 | $831.76 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $870.96 Typical High $1,659.59 | Professional | 26 · Professional part | $338.84 | $870.96 | $1,659.59 |
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 $380.19 Median $380.19 Typical High $660.69 | Professional | 26 · Professional part | $380.19 | $380.19 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $524.81 | Facility | None | $239.88 | $309.03 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $794.33 | Professional | None | $338.84 | $588.84 | $794.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $812.83 | Professional | 26 · Professional part | $389.05 | $389.05 | $812.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,862.09 Typical High $2,570.40 | Professional | 26 · Professional part | $1,096.48 | $1,862.09 | $2,570.40 |
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 $323.59 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $323.59 | $891.25 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $891.25 Typical High $1,862.09 | Professional | 26 · Professional part | $323.59 | $891.25 | $1,862.09 |
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 $245.47 Median $245.47 Typical High $10,232.93 | Professional | 52 · Reduced service | $245.47 | $245.47 | $10,232.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $4,168.69 | Professional | 53 · Discontinued | $100.00 | $100.00 | $4,168.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $15,488.17 | Professional | 54 · Surgery only | $371.54 | $371.54 | $15,488.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $3,090.30 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $3,090.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $2,089.30 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $2,089.30 |
Where Wisconsin sits
The same service costs 19.5 times more in Colorado than in Maryland. 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· 5th of 51
$4,074
CO $6,761MD $347
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.