How much rates vary
Facilitymedian $1,202 · 10th to 90th $89 to $3,548Professionalmedian $178 · 10th to 90th $79 to $468
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 $61.66 Median $70.79 Typical High $89.13 | Facility | None | $61.66 | $70.79 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $537.03 | Professional | None | $61.66 | $89.13 | $537.03 |
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 $79.43 Median $223.87 Typical High $467.74 | Professional | None | $79.43 | $223.87 | $467.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $331.13 Typical High $691.83 | Professional | 50 · Both sides | $120.23 | $331.13 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $169.82 Typical High $281.84 | Facility | None | $50.12 | $169.82 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $363.08 | Professional | None | $104.71 | $162.18 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $69.18 Median $2,630.27 Typical High $5,128.61 | Facility | None | $69.18 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $239.88 | Professional | None | $114.82 | $165.96 | $239.88 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $251.19 Typical High $354.81 | Professional | 50 · Both sides | $173.78 | $251.19 | $354.81 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $912.01 Typical High $1,778.28 | Facility | None | $100.00 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $346.74 Typical High $660.69 | Professional | None | $95.50 | $346.74 | $660.69 |
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 $112.20 Median $181.97 Typical High $263.03 | Professional | None | $112.20 | $181.97 | $263.03 |
Prevea360 Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $165.96 | Facility | None | $57.54 | $87.10 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $354.81 | Professional | None | $107.15 | $223.87 | $354.81 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $123.03 Typical High $186.21 | Facility | None | $50.12 | $123.03 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $194.98 | Professional | None | $112.20 | $162.18 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $281.84 | Professional | None | $194.98 | $194.98 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $575.44 | Professional | None | $204.17 | $398.11 | $575.44 |
The Alliance Setting Professional Modifier None Typical Low $134.90 Median $281.84 Typical High $512.86 | Professional | None | $134.90 | $281.84 | $512.86 |
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 $72.44 Median $138.04 Typical High $398.11 | Professional | None | $72.44 | $138.04 | $398.11 |
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 $30.90 Median $30.90 Typical High $44.67 | Facility | 52 · Reduced service | $30.90 | $30.90 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $17.78 | Facility | 53 · Discontinued | $12.30 | $12.30 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $13.18 | Facility | 55 · Aftercare only | $9.33 | $9.33 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $8.91 | Facility | 56 · Pre-op care only | $6.17 | $6.17 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $44.67 Typical High $389.05 | Professional | 52 · Reduced service | $30.90 | $44.67 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $158.49 | Professional | 53 · Discontinued | $12.30 | $17.78 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.18 Typical High $117.49 | Professional | 55 · Aftercare only | $9.33 | $13.18 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $77.62 | Professional | 56 · Pre-op care only | $6.17 | $8.91 | $77.62 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $83.18 Typical High $120.23 | Professional | 51 · Multiple procedures | $57.54 | $83.18 | $120.23 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$200
AK $257KY $69.18
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.