How much rates vary
Facilitymedian $1,202 · 10th to 90th $129 to $3,548Professionalmedian $302 · 10th to 90th $135 to $851
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 $109.65 Median $125.89 Typical High $144.54 | Facility | None | $109.65 | $125.89 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $1,047.13 | Professional | None | $109.65 | $144.54 | $1,047.13 |
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 $138.04 Median $407.38 Typical High $851.14 | Professional | None | $138.04 | $407.38 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $602.56 Typical High $1,258.93 | Professional | 50 · Both sides | $208.93 | $602.56 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $177.83 Typical High $457.09 | Facility | None | $50.12 | $177.83 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $602.56 | Professional | None | $181.97 | $263.03 | $602.56 |
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 $194.98 Median $257.04 Typical High $371.54 | Professional | None | $194.98 | $257.04 | $371.54 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $389.05 Typical High $562.34 | Professional | 50 · Both sides | $295.12 | $389.05 | $562.34 |
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 $165.96 Median $575.44 Typical High $1,096.48 | Professional | None | $165.96 | $575.44 | $1,096.48 |
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 $181.97 Median $338.84 Typical High $446.68 | Professional | None | $181.97 | $338.84 | $446.68 |
Prevea360 Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $288.40 | Facility | None | $107.15 | $144.54 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $602.56 | Professional | None | $181.97 | $338.84 | $602.56 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $128.82 Typical High $194.98 | Facility | None | $50.12 | $128.82 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $316.23 | Professional | None | $199.53 | $263.03 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $478.63 | Professional | None | $371.54 | $371.54 | $478.63 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $724.44 Typical High $933.25 | Professional | None | $371.54 | $724.44 | $933.25 |
The Alliance Setting Professional Modifier None Typical Low $234.42 Median $478.63 Typical High $831.76 | Professional | None | $234.42 | $478.63 | $831.76 |
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 $138.04 Median $263.03 Typical High $676.08 | Professional | None | $138.04 | $263.03 | $676.08 |
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 $54.95 Median $54.95 Typical High $72.44 | Facility | 52 · Reduced service | $54.95 | $54.95 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | 53 · Discontinued | $21.88 | $21.88 | $28.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $21.88 | Facility | 55 · Aftercare only | $16.60 | $16.60 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $14.45 | Facility | 56 · Pre-op care only | $10.96 | $10.96 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $72.44 Typical High $562.34 | Professional | 52 · Reduced service | $54.95 | $72.44 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.84 Typical High $223.87 | Professional | 53 · Discontinued | $21.88 | $28.84 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $21.88 Typical High $169.82 | Professional | 55 · Aftercare only | $16.60 | $21.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $14.45 Typical High $112.20 | Professional | 56 · Pre-op care only | $10.96 | $14.45 | $112.20 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $97.72 Median $128.82 Typical High $186.21 | Professional | 51 · Multiple procedures | $97.72 | $128.82 | $186.21 |
Where Wisconsin sits
The same service costs 4.3 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
$331
AK $457KY $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.