How much rates vary
Facilitymedian $1,202 · 10th to 90th $141 to $3,548Professionalmedian $288 · 10th to 90th $132 to $776
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 $102.33 Median $102.33 Typical High $141.25 | Facility | None | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $1,230.27 | Professional | None | $102.33 | $141.25 | $1,230.27 |
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 $131.83 Median $371.54 Typical High $776.25 | Professional | None | $131.83 | $371.54 | $776.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $562.34 Typical High $1,174.90 | Professional | 50 · Both sides | $194.98 | $562.34 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $239.88 Typical High $446.68 | Facility | None | $50.12 | $239.88 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $588.84 | Professional | None | $177.83 | $257.04 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $2,630.27 Typical High $5,128.61 | Facility | None | $123.03 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $354.81 | Professional | None | $181.97 | $251.19 | $354.81 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $380.19 Typical High $537.03 | Professional | 50 · Both sides | $275.42 | $380.19 | $537.03 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $912.01 Typical High $1,778.28 | Facility | None | $151.36 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $549.54 Typical High $1,071.52 | Professional | None | $154.88 | $549.54 | $1,071.52 |
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 $177.83 Median $316.23 Typical High $436.52 | Professional | None | $177.83 | $316.23 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $275.42 | Facility | None | $102.33 | $158.49 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $562.34 | Professional | None | $173.78 | $354.81 | $562.34 |
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 $186.21 Median $257.04 Typical High $309.03 | Professional | None | $186.21 | $257.04 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None | $338.84 | $338.84 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $660.69 Typical High $912.01 | Professional | None | $346.74 | $660.69 | $912.01 |
The Alliance Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $123.03 Median $239.88 Typical High $645.65 | Professional | None | $123.03 | $239.88 | $645.65 |
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 $51.29 Median $51.29 Typical High $70.79 | Facility | 52 · Reduced service | $51.29 | $51.29 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $28.18 | Facility | 53 · Discontinued | $20.42 | $20.42 | $28.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $21.38 | Facility | 55 · Aftercare only | $15.49 | $15.49 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $14.13 | Facility | 56 · Pre-op care only | $10.23 | $10.23 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $70.79 Typical High $616.60 | Professional | 52 · Reduced service | $51.29 | $70.79 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.18 Typical High $245.47 | Professional | 53 · Discontinued | $20.42 | $28.18 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $21.38 Typical High $186.21 | Professional | 55 · Aftercare only | $15.49 | $21.38 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $14.13 Typical High $123.03 | Professional | 56 · Pre-op care only | $10.23 | $14.13 | $123.03 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $125.89 Typical High $177.83 | Professional | 51 · Multiple procedures | $91.20 | $125.89 | $177.83 |
Where Wisconsin sits
The same service costs 4.0 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
$316
AK $437FL $110
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.