How much rates vary
Facilitymedian $1,202 · 10th to 90th $219 to $3,802Professionalmedian $550 · 10th to 90th $219 to $1,318
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 $169.82 Median $302.00 Typical High $14,454.40 | Facility | None | $169.82 | $302.00 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $1,949.84 | Professional | None | $169.82 | $302.00 | $1,949.84 |
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 $229.09 Median $575.44 Typical High $1,202.26 | Professional | None | $229.09 | $575.44 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $389.05 Typical High $977.24 | Facility | None | $50.12 | $389.05 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $549.54 Typical High $1,230.27 | Professional | None | $295.12 | $549.54 | $1,230.27 |
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 $316.23 Median $537.03 Typical High $776.25 | Professional | None | $316.23 | $537.03 | $776.25 |
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 $275.42 Median $1,122.02 Typical High $2,238.72 | Professional | None | $275.42 | $1,122.02 | $2,238.72 |
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 $354.81 Median $537.03 Typical High $758.58 | Professional | None | $354.81 | $537.03 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $281.84 Typical High $562.34 | Facility | None | $165.96 | $281.84 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $691.83 Typical High $1,202.26 | Professional | None | $363.08 | $691.83 | $1,202.26 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $281.84 Typical High $426.58 | Facility | None | $50.12 | $281.84 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $616.60 | Professional | None | $309.03 | $489.78 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | None | $549.54 | $549.54 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,949.84 | Professional | None | $602.56 | $1,096.48 | $1,949.84 |
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 $186.21 Median $407.38 Typical High $1,202.26 | Professional | None | $186.21 | $407.38 | $1,202.26 |
15 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 $85.11 Median $85.11 Typical High $151.36 | Facility | 52 · Reduced service | $85.11 | $85.11 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $60.26 | Facility | 53 · Discontinued | $33.88 | $33.88 | $60.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $229.09 | Facility | 54 · Surgery only | $125.89 | $125.89 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $45.71 | Facility | 55 · Aftercare only | $25.70 | $25.70 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $30.20 | Facility | 56 · Pre-op care only | $16.98 | $16.98 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $151.36 Typical High $977.24 | Professional | 52 · Reduced service | $85.11 | $151.36 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $60.26 Typical High $389.05 | Professional | 53 · Discontinued | $33.88 | $60.26 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $229.09 Typical High $1,479.11 | Professional | 54 · Surgery only | $125.89 | $229.09 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $45.71 Typical High $295.12 | Professional | 55 · Aftercare only | $25.70 | $45.71 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $30.20 Typical High $194.98 | Professional | 56 · Pre-op care only | $16.98 | $30.20 | $194.98 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $269.15 Typical High $389.05 | Professional | 51 · Multiple procedures | $158.49 | $269.15 | $389.05 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $87.10 Typical High $123.03 | Professional | 80 · Assistant surgeon | $51.29 | $87.10 | $123.03 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $87.10 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $51.29 | $87.10 | $123.03 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $87.10 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $87.10 | $123.03 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $75.86 Typical High $107.15 | Professional | AS · PA/NP assist | $44.67 | $75.86 | $107.15 |
Where Wisconsin sits
The same service costs 4.0 times more in Alaska 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.
Wisconsin· 2nd of 51
$562
AK $724MD $182
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.