How much rates vary
Facilitymedian $1,445 · 10th to 90th $269 to $3,981Professionalmedian $724 · 10th to 90th $275 to $1,778
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 $158.49 Median $275.42 Typical High $14,454.40 | Facility | None | $158.49 | $275.42 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $275.42 Typical High $1,737.80 | Professional | None | $158.49 | $275.42 | $1,737.80 |
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 $371.54 Median $812.83 Typical High $1,778.28 | Professional | None | $371.54 | $812.83 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,584.89 | Facility | None | $758.58 | $954.99 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $724.44 | Professional | None | $288.40 | $338.84 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $2,630.27 Typical High $5,128.61 | Facility | None | $204.17 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $229.09 Median $512.86 Typical High $831.76 | Professional | None | $229.09 | $512.86 | $831.76 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $912.01 Typical High $1,778.28 | Facility | None | $204.17 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,348.96 Typical High $2,137.96 | Professional | None | $478.63 | $1,348.96 | $2,137.96 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $1,071.52 | Professional | None | $457.09 | $562.34 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $288.40 Typical High $446.68 | Facility | None | $165.96 | $288.40 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $1,047.13 | Professional | None | $346.74 | $588.84 | $1,047.13 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $1,659.59 | Facility | None | $645.65 | $954.99 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,096.48 | Professional | None | $288.40 | $288.40 | $1,096.48 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $741.31 | Professional | None | $346.74 | $346.74 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $316.23 Median $851.14 Typical High $1,949.84 | Professional | None | $316.23 | $851.14 | $1,949.84 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $1,862.09 | Facility | None | $218.78 | $1,174.90 | $1,862.09 |
United Setting Professional Modifier None Typical Low $257.04 Median $724.44 Typical High $1,862.09 | Professional | None | $257.04 | $724.44 | $1,862.09 |
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 $79.43 Median $79.43 Typical High $138.04 | Facility | 52 · Reduced service | $79.43 | $79.43 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $54.95 | Facility | 53 · Discontinued | $31.62 | $31.62 | $54.95 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $204.17 | Facility | 54 · Surgery only | $120.23 | $120.23 | $204.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $40.74 | Facility | 55 · Aftercare only | $23.99 | $23.99 | $40.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $27.54 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $138.04 Typical High $870.96 | Professional | 52 · Reduced service | $79.43 | $138.04 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $54.95 Typical High $346.74 | Professional | 53 · Discontinued | $31.62 | $54.95 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $204.17 Typical High $1,288.25 | Professional | 54 · Surgery only | $120.23 | $204.17 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $40.74 Typical High $263.03 | Professional | 55 · Aftercare only | $23.99 | $40.74 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $27.54 Typical High $173.78 | Professional | 56 · Pre-op care only | $15.85 | $27.54 | $173.78 |
Where Wisconsin sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 1st of 51
$813
WI $813UT $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.