How much rates vary
Facilitymedian $1,202 · 10th to 90th $79 to $3,802Professionalmedian $148 · 10th to 90th $66 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 $48.98 Median $79.43 Typical High $14,454.40 | Facility | None | $48.98 | $79.43 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $79.43 Typical High $524.81 | Professional | None | $48.98 | $79.43 | $524.81 |
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 $67.61 Median $181.97 Typical High $380.19 | Professional | None | $67.61 | $181.97 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $269.15 Typical High $562.34 | Professional | 50 · Both sides | $102.33 | $269.15 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $154.88 Typical High $257.04 | Facility | None | $50.12 | $154.88 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $323.59 | Professional | None | $87.10 | $144.54 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $54.95 Median $2,630.27 Typical High $5,128.61 | Facility | None | $54.95 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $213.80 | Professional | None | $93.33 | $144.54 | $213.80 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $213.80 Typical High $323.59 | Professional | 50 · Both sides | $138.04 | $213.80 | $323.59 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $912.01 Typical High $1,778.28 | Facility | None | $95.50 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $309.03 Typical High $588.84 | Professional | None | $79.43 | $309.03 | $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 $158.49 Typical High $218.78 | Professional | None | $100.00 | $158.49 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $151.36 | Facility | None | $46.77 | $75.86 | $151.36 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $323.59 | Professional | None | $91.20 | $190.55 | $323.59 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $112.20 Typical High $169.82 | Facility | None | $50.12 | $112.20 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $173.78 | Professional | None | $89.13 | $138.04 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $512.86 | Professional | None | $162.18 | $316.23 | $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 $58.88 Median $117.49 Typical High $331.13 | Professional | None | $58.88 | $117.49 | $331.13 |
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 $24.55 Median $24.55 Typical High $39.81 | Facility | 52 · Reduced service | $24.55 | $24.55 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $15.85 | Facility | 53 · Discontinued | $10.00 | $10.00 | $15.85 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $37.15 Median $37.15 Typical High $60.26 | Facility | 54 · Surgery only | $37.15 | $37.15 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $12.02 | Facility | 55 · Aftercare only | $7.41 | $7.41 | $12.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $7.94 | Facility | 56 · Pre-op care only | $4.90 | $4.90 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $39.81 Typical High $263.03 | Professional | 52 · Reduced service | $24.55 | $39.81 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $15.85 Typical High $104.71 | Professional | 53 · Discontinued | $10.00 | $15.85 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $60.26 Typical High $398.11 | Professional | 54 · Surgery only | $37.15 | $60.26 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $12.02 Typical High $79.43 | Professional | 55 · Aftercare only | $7.41 | $12.02 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $7.94 Typical High $52.48 | Professional | 56 · Pre-op care only | $4.90 | $7.94 | $52.48 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $72.44 Typical High $107.15 | Professional | 51 · Multiple procedures | $46.77 | $72.44 | $107.15 |
Where Wisconsin sits
The same service costs 3.6 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
$174
AK $204KY $56.23
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.