How much rates vary
Facilitymedian $1,202 · 10th to 90th $98 to $3,548Professionalmedian $195 · 10th to 90th $85 to $501
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 $66.07 Median $75.86 Typical High $97.72 | Facility | None | $66.07 | $75.86 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $537.03 | Professional | None | $66.07 | $97.72 | $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 $87.10 Median $239.88 Typical High $501.19 | Professional | None | $87.10 | $239.88 | $501.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $354.81 Typical High $741.31 | Professional | 50 · Both sides | $131.83 | $354.81 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $186.21 Typical High $309.03 | Facility | None | $50.12 | $186.21 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $398.11 | Professional | None | $112.20 | $177.83 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $74.13 Median $2,630.27 Typical High $5,128.61 | Facility | None | $74.13 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $263.03 | Professional | None | $125.89 | $181.97 | $263.03 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $269.15 Typical High $389.05 | Professional | 50 · Both sides | $186.21 | $269.15 | $389.05 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $912.01 Typical High $1,778.28 | Facility | None | $117.49 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $371.54 Typical High $724.44 | Professional | None | $102.33 | $371.54 | $724.44 |
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 $123.03 Median $194.98 Typical High $275.42 | Professional | None | $123.03 | $194.98 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $181.97 | Facility | None | $61.66 | $95.50 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $245.47 Typical High $389.05 | Professional | None | $117.49 | $245.47 | $389.05 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $134.90 Typical High $204.17 | Facility | None | $50.12 | $134.90 | $204.17 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $213.80 | Professional | None | $120.23 | $177.83 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None | $213.80 | $213.80 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $218.78 Median $426.58 Typical High $630.96 | Professional | None | $218.78 | $426.58 | $630.96 |
The Alliance Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $630.96 | Professional | None | $186.21 | $398.11 | $630.96 |
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 $77.62 Median $151.36 Typical High $426.58 | Professional | None | $77.62 | $151.36 | $426.58 |
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 $33.11 Median $33.11 Typical High $48.98 | Facility | 52 · Reduced service | $33.11 | $33.11 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $19.50 | Facility | 53 · Discontinued | $13.18 | $13.18 | $19.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $14.79 | Facility | 55 · Aftercare only | $10.00 | $10.00 | $14.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $9.77 | Facility | 56 · Pre-op care only | $6.61 | $6.61 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $48.98 Typical High $331.13 | Professional | 52 · Reduced service | $33.11 | $48.98 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.50 Typical High $134.90 | Professional | 53 · Discontinued | $13.18 | $19.50 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $14.79 Typical High $100.00 | Professional | 55 · Aftercare only | $10.00 | $14.79 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.77 Typical High $66.07 | Professional | 56 · Pre-op care only | $6.61 | $9.77 | $66.07 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $91.20 Typical High $131.83 | Professional | 51 · Multiple procedures | $63.10 | $91.20 | $131.83 |
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
$219
AK $275KY $74.13
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.