How much rates vary
Facilitymedian $1,202 · 10th to 90th $83 to $3,548Professionalmedian $151 · 10th to 90th $72 to $447
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 $53.70 Median $53.70 Typical High $75.86 | Facility | None | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $645.65 | Professional | None | $53.70 | $75.86 | $645.65 |
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 $72.44 Median $199.53 Typical High $416.87 | Professional | None | $72.44 | $199.53 | $416.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $302.00 Typical High $630.96 | Professional | 50 · Both sides | $107.15 | $302.00 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $131.83 Typical High $245.47 | Facility | None | $50.12 | $131.83 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $316.23 | Professional | None | $95.50 | $138.04 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $2,630.27 Typical High $5,128.61 | Facility | None | $64.57 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | None | $95.50 | $134.90 | $194.98 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $204.17 Typical High $288.40 | Professional | 50 · Both sides | $144.54 | $204.17 | $288.40 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $912.01 Typical High $1,778.28 | Facility | None | $109.65 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $302.00 Typical High $575.44 | Professional | None | $91.20 | $302.00 | $575.44 |
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 $95.50 Median $173.78 Typical High $234.42 | Professional | None | $95.50 | $173.78 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $151.36 | Facility | None | $52.48 | $85.11 | $151.36 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $316.23 | Professional | None | $93.33 | $186.21 | $316.23 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $144.54 | Facility | None | $50.12 | $95.50 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $165.96 | Professional | None | $97.72 | $138.04 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $245.47 | Professional | None | $173.78 | $173.78 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $489.78 | Professional | None | $186.21 | $346.74 | $489.78 |
The Alliance Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $457.09 | Professional | None | $138.04 | $269.15 | $457.09 |
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 $70.79 Median $125.89 Typical High $354.81 | Professional | None | $70.79 | $125.89 | $354.81 |
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 $26.92 Median $26.92 Typical High $38.02 | Facility | 52 · Reduced service | $26.92 | $26.92 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $15.14 | Facility | 53 · Discontinued | $10.72 | $10.72 | $15.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $11.48 | Facility | 55 · Aftercare only | $8.13 | $8.13 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $7.59 | Facility | 56 · Pre-op care only | $5.37 | $5.37 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.02 Typical High $323.59 | Professional | 52 · Reduced service | $26.92 | $38.02 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.14 Typical High $128.82 | Professional | 53 · Discontinued | $10.72 | $15.14 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $97.72 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.59 Typical High $64.57 | Professional | 56 · Pre-op care only | $5.37 | $7.59 | $64.57 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $67.61 Typical High $97.72 | Professional | 51 · Multiple procedures | $47.86 | $67.61 | $97.72 |
Where Wisconsin sits
The same service costs 3.5 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
$174
AK $219FL $63.10
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.