How much rates vary
Facilitymedian $1,202 · 10th to 90th $71 to $3,802Professionalmedian $145 · 10th to 90th $59 to $380
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 $43.65 Median $63.10 Typical High $14,454.40 | Facility | None | $43.65 | $63.10 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $281.84 | Professional | None | $43.65 | $63.10 | $281.84 |
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 $60.26 Median $194.98 Typical High $416.87 | Professional | None | $60.26 | $194.98 | $416.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $288.40 Typical High $630.96 | Professional | 50 · Both sides | $91.20 | $288.40 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $169.82 Typical High $707.95 | Facility | None | $64.57 | $169.82 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $288.40 | Professional | None | $75.86 | $114.82 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $51.29 Median $2,630.27 Typical High $5,128.61 | Facility | None | $51.29 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | None | $81.28 | $117.49 | $169.82 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $177.83 Typical High $257.04 | Professional | 50 · Both sides | $123.03 | $177.83 | $257.04 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $758.58 Typical High $1,949.84 | Facility | None | $128.82 | $758.58 | $1,949.84 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $245.47 Typical High $478.63 | Professional | None | $74.13 | $245.47 | $478.63 |
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 $79.43 Median $141.25 Typical High $194.98 | Professional | None | $79.43 | $141.25 | $194.98 |
Prevea360 Setting Facility Modifier None Typical Low $43.65 Median $70.79 Typical High $117.49 | Facility | None | $43.65 | $70.79 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $239.88 | Professional | None | $75.86 | $158.49 | $239.88 |
Quartz Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $1,071.52 | Facility | None | $64.57 | $97.72 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | None | $79.43 | $114.82 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $208.93 | Professional | None | $144.54 | $144.54 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $416.87 | Professional | None | $151.36 | $281.84 | $416.87 |
The Alliance Setting Professional Modifier None Typical Low $109.65 Median $223.87 Typical High $371.54 | Professional | None | $109.65 | $223.87 | $371.54 |
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 $54.95 Median $104.71 Typical High $288.40 | Professional | None | $54.95 | $104.71 | $288.40 |
11 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 $21.88 Median $21.88 Typical High $31.62 | Facility | 52 · Reduced service | $21.88 | $21.88 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $12.59 | Facility | 53 · Discontinued | $8.71 | $8.71 | $12.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $32.36 Median $32.36 Typical High $47.86 | Facility | 54 · Surgery only | $32.36 | $32.36 | $47.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $9.55 | Facility | 55 · Aftercare only | $6.46 | $6.46 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $6.31 | Facility | 56 · Pre-op care only | $4.37 | $4.37 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $31.62 Typical High $288.40 | Professional | 52 · Reduced service | $21.88 | $31.62 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.59 Typical High $114.82 | Professional | 53 · Discontinued | $8.71 | $12.59 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $47.86 Typical High $436.52 | Professional | 54 · Surgery only | $32.36 | $47.86 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $9.55 Typical High $87.10 | Professional | 55 · Aftercare only | $6.46 | $9.55 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.31 Typical High $57.54 | Professional | 56 · Pre-op care only | $4.37 | $6.31 | $57.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $58.88 Typical High $85.11 | Professional | 51 · Multiple procedures | $40.74 | $58.88 | $85.11 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$166
AK $224FL $53.70
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.