How much rates vary
Facilitymedian $1,288 · 10th to 90th $68 to $3,802Professionalmedian $151 · 10th to 90th $59 to $324
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 $38.02 Median $43.65 Typical High $67.61 | Facility | None | $38.02 | $43.65 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $457.09 | Professional | None | $38.02 | $67.61 | $457.09 |
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 $74.13 Median $177.83 Typical High $338.84 | Professional | None | $74.13 | $177.83 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $213.80 Typical High $323.59 | Facility | None | $50.12 | $213.80 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $239.88 | Professional | None | $50.12 | $91.20 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $2,630.27 Typical High $5,128.61 | Facility | None | $48.98 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $213.80 | Professional | None | $77.62 | $141.25 | $213.80 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $912.01 Typical High $1,778.28 | Facility | None | $89.13 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $218.78 Typical High $588.84 | Professional | None | $75.86 | $218.78 | $588.84 |
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 $100.00 Median $131.83 Typical High $199.53 | Professional | None | $100.00 | $131.83 | $199.53 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $138.04 | Facility | None | $39.81 | $69.18 | $138.04 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $295.12 | Professional | None | $91.20 | $173.78 | $295.12 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Facility | None | $50.12 | $50.12 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $128.82 | Professional | None | $50.12 | $81.28 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | None | $83.18 | $83.18 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $213.80 Typical High $354.81 | Professional | None | $100.00 | $213.80 | $354.81 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $52.48 Median $138.04 Typical High $269.15 | Professional | None | $52.48 | $138.04 | $269.15 |
9 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 $19.05 Median $19.05 Typical High $33.88 | Facility | 52 · Reduced service | $19.05 | $19.05 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $13.49 | Facility | 53 · Discontinued | $7.59 | $7.59 | $13.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $10.23 | Facility | 55 · Aftercare only | $5.62 | $5.62 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $6.76 | Facility | 56 · Pre-op care only | $3.80 | $3.80 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $33.88 Typical High $251.19 | Professional | 52 · Reduced service | $19.05 | $33.88 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $13.49 Typical High $100.00 | Professional | 53 · Discontinued | $7.59 | $13.49 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $10.23 Typical High $74.13 | Professional | 55 · Aftercare only | $5.62 | $10.23 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $6.76 Typical High $50.12 | Professional | 56 · Pre-op care only | $3.80 | $6.76 | $50.12 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $70.79 Typical High $107.15 | Professional | 51 · Multiple procedures | $38.90 | $70.79 | $107.15 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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
$178
AK $191NJ $57.54
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.