How much rates vary
Facilitymedian $1,318 · 10th to 90th $50 to $3,802Professionalmedian $66 · 10th to 90th $28 to $174
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 $18.20 Median $18.20 Typical High $33.88 | Facility | None | $18.20 | $18.20 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $281.84 | Professional | None | $18.20 | $33.88 | $281.84 |
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 $25.12 Median $70.79 Typical High $144.54 | Professional | None | $25.12 | $70.79 | $144.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $104.71 Typical High $208.93 | Professional | 50 · Both sides | $38.02 | $104.71 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $144.54 | Facility | None | $50.12 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $144.54 | Professional | None | $33.11 | $61.66 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $21.88 Median $2,630.27 Typical High $5,128.61 | Facility | None | $21.88 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $34.67 Median $61.66 Typical High $93.33 | Professional | None | $34.67 | $61.66 | $93.33 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $91.20 Typical High $138.04 | Professional | 50 · Both sides | $51.29 | $91.20 | $138.04 |
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 $44.67 Median $151.36 Typical High $323.59 | Professional | None | $44.67 | $151.36 | $323.59 |
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 $43.65 Median $87.10 Typical High $117.49 | Professional | None | $43.65 | $87.10 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $18.20 Median $37.15 Typical High $66.07 | Facility | None | $18.20 | $37.15 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $134.90 | Professional | None | $34.67 | $79.43 | $134.90 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Facility | None | $50.12 | $50.12 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $77.62 | Professional | None | $33.11 | $61.66 | $77.62 |
Security Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | None | $61.66 | $61.66 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $251.19 | Professional | None | $67.61 | $134.90 | $251.19 |
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 $27.54 Median $63.10 Typical High $151.36 | Professional | None | $27.54 | $63.10 | $151.36 |
13 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 $9.12 Median $9.12 Typical High $16.98 | Facility | 52 · Reduced service | $9.12 | $9.12 | $16.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $6.92 | Facility | 53 · Discontinued | $3.63 | $3.63 | $6.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.75 Median $2.75 Typical High $5.13 | Facility | 55 · Aftercare only | $2.75 | $2.75 | $5.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $3.47 | Facility | 56 · Pre-op care only | $1.82 | $1.82 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $16.98 Typical High $141.25 | Professional | 52 · Reduced service | $9.12 | $16.98 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $6.92 Typical High $57.54 | Professional | 53 · Discontinued | $3.63 | $6.92 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $5.13 Typical High $42.66 | Professional | 55 · Aftercare only | $2.75 | $5.13 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $3.47 Typical High $28.18 | Professional | 56 · Pre-op care only | $1.82 | $3.47 | $28.18 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $30.20 Typical High $46.77 | Professional | 51 · Multiple procedures | $17.38 | $30.20 | $46.77 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $9.77 Typical High $14.79 | Professional | 80 · Assistant surgeon | $5.50 | $9.77 | $14.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $9.77 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $5.50 | $9.77 | $14.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $9.77 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $9.77 | $14.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $8.51 Typical High $12.88 | Professional | AS · PA/NP assist | $4.79 | $8.51 | $12.88 |
Where Wisconsin sits
The same service costs 3.8 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
$74.13
AK $91.20VA $23.99
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.