How much rates vary
Facilitymedian $1,202 · 10th to 90th $135 to $3,802Professionalmedian $269 · 10th to 90th $117 to $724
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 $95.50 Median $134.90 Typical High $14,454.40 | Facility | None | $95.50 | $134.90 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $954.99 | Professional | None | $95.50 | $134.90 | $954.99 |
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 $125.89 Median $354.81 Typical High $741.31 | Professional | None | $125.89 | $354.81 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $537.03 Typical High $1,096.48 | Professional | 50 · Both sides | $186.21 | $537.03 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $239.88 Typical High $426.58 | Facility | None | $50.12 | $239.88 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $562.34 | Professional | None | $162.18 | $245.47 | $562.34 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $2,630.27 Typical High $5,128.61 | Facility | None | $107.15 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $338.84 | Professional | None | $169.82 | $239.88 | $338.84 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $363.08 Typical High $512.86 | Professional | 50 · Both sides | $257.04 | $363.08 | $512.86 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $912.01 Typical High $1,778.28 | Facility | None | $144.54 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $524.81 Typical High $1,023.29 | Professional | None | $147.91 | $524.81 | $1,023.29 |
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 $169.82 Median $295.12 Typical High $416.87 | Professional | None | $169.82 | $295.12 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $263.03 | Facility | None | $95.50 | $131.83 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $549.54 | Professional | None | $165.96 | $338.84 | $549.54 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $263.03 | Facility | None | $50.12 | $173.78 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $295.12 | Professional | None | $173.78 | $245.47 | $295.12 |
Security Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
Security Health Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $870.96 | Professional | None | $323.59 | $616.60 | $870.96 |
The Alliance Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $794.33 | Professional | None | $190.55 | $436.52 | $794.33 |
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 $114.82 Median $223.87 Typical High $616.60 | Professional | None | $114.82 | $223.87 | $616.60 |
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 $47.86 Median $47.86 Typical High $67.61 | Facility | 52 · Reduced service | $47.86 | $47.86 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $26.92 | Facility | 53 · Discontinued | $19.05 | $19.05 | $26.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $20.42 | Facility | 55 · Aftercare only | $14.45 | $14.45 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $13.49 | Facility | 56 · Pre-op care only | $9.55 | $9.55 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $67.61 Typical High $562.34 | Professional | 52 · Reduced service | $47.86 | $67.61 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $223.87 | Professional | 53 · Discontinued | $19.05 | $26.92 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.42 Typical High $165.96 | Professional | 55 · Aftercare only | $14.45 | $20.42 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.49 Typical High $112.20 | Professional | 56 · Pre-op care only | $9.55 | $13.49 | $112.20 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $120.23 Typical High $169.82 | Professional | 51 · Multiple procedures | $85.11 | $120.23 | $169.82 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$302
AK $398FL $107
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.