How much rates vary
Facilitymedian $1,202 · 10th to 90th $65 to $3,548Professionalmedian $123 · 10th to 90th $56 to $331
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 $42.66 Median $42.66 Typical High $64.57 | Facility | None | $42.66 | $42.66 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $436.52 | Professional | None | $42.66 | $64.57 | $436.52 |
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 $57.54 Median $158.49 Typical High $331.13 | Professional | None | $57.54 | $158.49 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $204.17 | Facility | None | $50.12 | $97.72 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $269.15 | Professional | None | $72.44 | $114.82 | $269.15 |
DeanCare Setting Facility Modifier None Typical Low $47.86 Median $2,630.27 Typical High $5,128.61 | Facility | None | $47.86 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $162.18 | Professional | None | $75.86 | $107.15 | $162.18 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $912.01 Typical High $1,778.28 | Facility | None | $75.86 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $239.88 Typical High $489.78 | Professional | None | $70.79 | $239.88 | $489.78 |
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 $81.28 Median $131.83 Typical High $190.55 | Professional | None | $81.28 | $131.83 | $190.55 |
Prevea360 Setting Facility Modifier None Typical Low $39.81 Median $63.10 Typical High $123.03 | Facility | None | $39.81 | $63.10 | $123.03 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $257.04 | Professional | None | $74.13 | $154.88 | $257.04 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $107.15 | Facility | None | $50.12 | $70.79 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $138.04 | Professional | None | $77.62 | $112.20 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None | $141.25 | $141.25 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $416.87 | Professional | None | $144.54 | $281.84 | $416.87 |
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 $53.70 Median $100.00 Typical High $281.84 | Professional | None | $53.70 | $100.00 | $281.84 |
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 $21.38 Median $21.38 Typical High $31.62 | Facility | 52 · Reduced service | $21.38 | $21.38 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $12.88 | Facility | 53 · Discontinued | $8.51 | $8.51 | $12.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $9.55 | Facility | 55 · Aftercare only | $6.46 | $6.46 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $6.46 | Facility | 56 · Pre-op care only | $4.27 | $4.27 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $31.62 Typical High $218.78 | Professional | 52 · Reduced service | $21.38 | $31.62 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.88 Typical High $87.10 | Professional | 53 · Discontinued | $8.51 | $12.88 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $9.55 Typical High $66.07 | Professional | 55 · Aftercare only | $6.46 | $9.55 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $6.46 Typical High $43.65 | Professional | 56 · Pre-op care only | $4.27 | $6.46 | $43.65 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $53.70 Typical High $81.28 | Professional | 51 · Multiple procedures | $38.02 | $53.70 | $81.28 |
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
$141
AK $182FL $52.48
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.