How much rates vary
Facilitymedian $1,585 · 10th to 90th $309 to $40,738Professionalmedian $912 · 10th to 90th $331 to $2,399
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 $512.86 Median $512.86 Typical High $14,454.40 | Facility | None | $512.86 | $512.86 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $4,365.16 | Professional | None | $478.63 | $512.86 | $4,365.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $26,915.35 Typical High $54,954.09 | Facility | None | $1,202.26 | $26,915.35 | $54,954.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $1,047.13 Typical High $2,754.23 | Professional | None | $309.03 | $1,047.13 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,174.90 | Facility | None | $691.83 | $794.33 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $776.25 Typical High $1,479.11 | Professional | None | $398.11 | $776.25 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $245.47 Median $316.23 Typical High $616.60 | Facility | None | $245.47 | $316.23 | $616.60 |
DeanCare Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,000.00 | Professional | None | $489.78 | $660.69 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $954.99 Typical High $7,079.46 | Facility | None | $218.78 | $954.99 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $1,000.00 Typical High $2,041.74 | Professional | None | $363.08 | $1,000.00 | $2,041.74 |
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 $398.11 Median $831.76 Typical High $1,023.29 | Professional | None | $398.11 | $831.76 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $316.23 Typical High $616.60 | Facility | None | $245.47 | $316.23 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $602.56 Typical High $1,174.90 | Professional | None | $275.42 | $602.56 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $831.76 | Professional | None | $398.11 | $398.11 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Security Health Setting Facility Modifier None Typical Low $37,153.52 Median $40,738.03 Typical High $52,480.75 | Facility | None | $37,153.52 | $40,738.03 | $52,480.75 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $2,454.71 | Professional | None | $1,584.89 | $1,949.84 | $2,454.71 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $14,791.08 | Facility | None | $218.78 | $1,202.26 | $14,791.08 |
United Setting Professional Modifier None Typical Low $338.84 Median $977.24 Typical High $2,041.74 | Professional | None | $338.84 | $977.24 | $2,041.74 |
4 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 $257.04 Median $257.04 Typical High $2,137.96 | Professional | 52 · Reduced service | $257.04 | $257.04 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $870.96 | Professional | 53 · Discontinued | $102.33 | $102.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $645.65 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $436.52 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $436.52 |
Where Wisconsin sits
The same service costs 53.1 times more in Alabama 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.
Physician feeFacility fee
AL $24,490MD $461
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.