How much rates vary
Facilitymedian $1,202 · 10th to 90th $44 to $3,548Professionalmedian $85 · 10th to 90th $39 to $224
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 $27.54 Median $27.54 Typical High $43.65 | Facility | None | $27.54 | $27.54 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $288.40 | Professional | None | $27.54 | $43.65 | $288.40 |
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 $37.15 Median $104.71 Typical High $213.80 | Professional | None | $37.15 | $104.71 | $213.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $154.88 Typical High $323.59 | Professional | 50 · Both sides | $56.23 | $154.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $138.04 | Facility | None | $39.81 | $60.26 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $181.97 | Professional | None | $50.12 | $79.43 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $30.90 Median $2,630.27 Typical High $5,128.61 | Facility | None | $30.90 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $112.20 | Professional | None | $48.98 | $69.18 | $112.20 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $104.71 Typical High $165.96 | Professional | 50 · Both sides | $74.13 | $104.71 | $165.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $912.01 Typical High $1,778.28 | Facility | None | $54.95 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $173.78 Typical High $331.13 | Professional | None | $51.29 | $173.78 | $331.13 |
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 $54.95 Median $102.33 Typical High $134.90 | Professional | None | $54.95 | $102.33 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $27.54 Median $43.65 Typical High $85.11 | Facility | None | $27.54 | $43.65 | $85.11 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $181.97 | Professional | None | $48.98 | $100.00 | $181.97 |
Quartz Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $66.07 | Facility | None | $38.90 | $50.12 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $95.50 | Professional | None | $50.12 | $75.86 | $95.50 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None | $91.20 | $91.20 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $181.97 Typical High $281.84 | Professional | None | $95.50 | $181.97 | $281.84 |
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 $37.15 Median $72.44 Typical High $186.21 | Professional | None | $37.15 | $72.44 | $186.21 |
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 $13.80 Median $13.80 Typical High $21.88 | Facility | 52 · Reduced service | $13.80 | $13.80 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $8.71 | Facility | 53 · Discontinued | $5.50 | $5.50 | $8.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.07 Median $4.07 Typical High $6.61 | Facility | 55 · Aftercare only | $4.07 | $4.07 | $6.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $4.37 | Facility | 56 · Pre-op care only | $2.75 | $2.75 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $21.88 Typical High $144.54 | Professional | 52 · Reduced service | $13.80 | $21.88 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.71 Typical High $57.54 | Professional | 53 · Discontinued | $5.50 | $8.71 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $6.61 Typical High $43.65 | Professional | 55 · Aftercare only | $4.07 | $6.61 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $4.37 Typical High $28.84 | Professional | 56 · Pre-op care only | $2.75 | $4.37 | $28.84 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $24.55 Median $34.67 Typical High $56.23 | Professional | 51 · Multiple procedures | $24.55 | $34.67 | $56.23 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in Virginia. 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
$97.72
AK $112VA $33.88
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.