How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,479 to $16,218Professionalmedian $2,042 · 10th to 90th $646 to $8,913
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 $2,398.83 Median $11,220.18 Typical High $14,454.40 | Facility | None | $2,398.83 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $9,120.11 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $9,120.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $398.11 | $616.60 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
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 $1,513.56 Median $5,011.87 Typical High $11,220.18 | Professional | None (both parts) | $1,513.56 | $5,011.87 | $11,220.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $1,258.93 Typical High $2,884.03 | Professional | 26 · Professional part | $371.54 | $1,258.93 | $2,884.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $3,715.35 Typical High $8,317.64 | Professional | TC · Technical part | $1,096.48 | $3,715.35 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,584.89 | Facility | None | $933.25 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $776.25 Typical High $1,862.09 | Professional | None (both parts) | $645.65 | $776.25 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $933.25 Typical High $1,318.26 | Professional | 26 · Professional part | $478.63 | $933.25 | $1,318.26 |
DeanCare Setting Facility Modifier None Typical Low $1,479.11 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,479.11 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $3,311.31 | Professional | None (both parts) | $870.96 | $870.96 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $5,754.40 Typical High $12,882.50 | Facility | None | $1,230.27 | $5,754.40 | $12,882.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,071.52 Typical High $2,238.72 | Professional | None (both parts) | $436.52 | $1,071.52 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $1,071.52 Typical High $2,041.74 | Professional | 26 · Professional part | $416.87 | $1,071.52 | $2,041.74 |
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 $478.63 Median $478.63 Typical High $812.83 | Professional | 26 · Professional part | $478.63 | $478.63 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $295.12 Median $1,479.11 Typical High $2,630.27 | Facility | None | $295.12 | $1,479.11 | $2,630.27 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $2,884.03 Typical High $3,981.07 | Professional | None | $707.95 | $2,884.03 | $3,981.07 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $1,000.00 | Professional | 26 · Professional part | $478.63 | $478.63 | $1,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 26 · Professional part | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $1,318.26 Median $2,290.87 Typical High $3,162.28 | Professional | 26 · Professional part | $1,318.26 | $2,290.87 | $3,162.28 |
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 $436.52 Median $1,258.93 Typical High $2,238.72 | Professional | None (both parts) | $436.52 | $1,258.93 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $1,071.52 Typical High $2,238.72 | Professional | 26 · Professional part | $398.11 | $1,071.52 | $2,238.72 |
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 $1,202.26 Median $1,202.26 Typical High $4,570.88 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $1,819.70 | Professional | 53 · Discontinued | $478.63 | $478.63 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $6,760.83 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $6,760.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $1,348.96 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $912.01 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $912.01 |
Where Wisconsin sits
The same service costs 14.5 times more in California than in Maine. 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· 6th of 51
$4,074
CA $8,128ME $562
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.