How much rates vary
Facilitymedian $1,318 · 10th to 90th $55 to $3,802Professionalmedian $102 · 10th to 90th $46 to $257
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 $33.88 Median $33.88 Typical High $54.95 | Facility | None | $33.88 | $33.88 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $380.19 | Professional | None | $33.88 | $54.95 | $380.19 |
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 $46.77 Median $123.03 Typical High $251.19 | Professional | None | $46.77 | $123.03 | $251.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $69.18 Median $181.97 Typical High $380.19 | Professional | 50 · Both sides | $69.18 | $181.97 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $147.91 Typical High $229.09 | Facility | None | $50.12 | $147.91 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $223.87 | Professional | None | $58.88 | $100.00 | $223.87 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $2,630.27 Typical High $5,128.61 | Facility | None | $40.74 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $147.91 | Professional | None | $63.10 | $100.00 | $147.91 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $147.91 Typical High $218.78 | Professional | 50 · Both sides | $95.50 | $147.91 | $218.78 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $912.01 Typical High $1,778.28 | Facility | None | $66.07 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $204.17 Typical High $407.38 | Professional | None | $56.23 | $204.17 | $407.38 |
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 $69.18 Median $104.71 Typical High $147.91 | Professional | None | $69.18 | $104.71 | $147.91 |
Prevea360 Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $100.00 | Facility | None | $33.88 | $54.95 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $213.80 | Professional | None | $66.07 | $134.90 | $213.80 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Facility | None | $50.12 | $50.12 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $120.23 | Professional | None | $61.66 | $100.00 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | None | $109.65 | $109.65 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $346.74 | Professional | None | $138.04 | $218.78 | $346.74 |
United Setting Facility Modifier None Typical Low $204.17 Median $1,148.15 Typical High $1,862.09 | Facility | None | $204.17 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $218.78 | Professional | None | $38.90 | $81.28 | $218.78 |
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 $16.98 Median $16.98 Typical High $27.54 | Facility | 52 · Reduced service | $16.98 | $16.98 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $10.96 | Facility | 53 · Discontinued | $6.76 | $6.76 | $10.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $8.32 | Facility | 55 · Aftercare only | $5.13 | $5.13 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $5.50 | Facility | 56 · Pre-op care only | $3.39 | $3.39 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $27.54 Typical High $190.55 | Professional | 52 · Reduced service | $16.98 | $27.54 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.96 Typical High $77.62 | Professional | 53 · Discontinued | $6.76 | $10.96 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $8.32 Typical High $57.54 | Professional | 55 · Aftercare only | $5.13 | $8.32 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $5.50 Typical High $38.02 | Professional | 56 · Pre-op care only | $3.39 | $5.50 | $38.02 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $31.62 Median $50.12 Typical High $74.13 | Professional | 51 · Multiple procedures | $31.62 | $50.12 | $74.13 |
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
$117
AK $148KY $39.81
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.