How much rates vary
Facilitymedian $1,202 · 10th to 90th $105 to $3,548Professionalmedian $214 · 10th to 90th $98 to $562
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 $74.13 Median $74.13 Typical High $104.71 | Facility | None | $74.13 | $74.13 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $741.31 | Professional | None | $74.13 | $104.71 | $741.31 |
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 $97.72 Median $275.42 Typical High $549.54 | Professional | None | $97.72 | $275.42 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $398.11 Typical High $812.83 | Professional | 50 · Both sides | $147.91 | $398.11 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $331.13 | Facility | None | $50.12 | $173.78 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $436.52 | Professional | None | $123.03 | $190.55 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $2,630.27 Typical High $5,128.61 | Facility | None | $81.28 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | None | $131.83 | $186.21 | $269.15 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $275.42 Typical High $398.11 | Professional | 50 · Both sides | $194.98 | $275.42 | $398.11 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $912.01 Typical High $1,778.28 | Facility | None | $125.89 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $416.87 Typical High $794.33 | Professional | None | $114.82 | $416.87 | $794.33 |
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 $134.90 Median $223.87 Typical High $316.23 | Professional | None | $134.90 | $223.87 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $213.80 | Facility | None | $69.18 | $104.71 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $426.58 | Professional | None | $131.83 | $269.15 | $426.58 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $125.89 Typical High $190.55 | Facility | None | $50.12 | $125.89 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $229.09 | Professional | None | $131.83 | $186.21 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $251.19 Median $478.63 Typical High $676.08 | Professional | None | $251.19 | $478.63 | $676.08 |
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 $89.13 Median $173.78 Typical High $489.78 | Professional | None | $89.13 | $173.78 | $489.78 |
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 $36.31 Median $36.31 Typical High $52.48 | Facility | 52 · Reduced service | $36.31 | $36.31 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $21.38 | Facility | 53 · Discontinued | $14.79 | $14.79 | $21.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $15.85 | Facility | 55 · Aftercare only | $10.96 | $10.96 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $10.47 | Facility | 56 · Pre-op care only | $7.41 | $7.41 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $52.48 Typical High $371.54 | Professional | 52 · Reduced service | $36.31 | $52.48 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.38 Typical High $151.36 | Professional | 53 · Discontinued | $14.79 | $21.38 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.85 Typical High $112.20 | Professional | 55 · Aftercare only | $10.96 | $15.85 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.47 Typical High $74.13 | Professional | 56 · Pre-op care only | $7.41 | $10.47 | $74.13 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $93.33 Typical High $134.90 | Professional | 51 · Multiple procedures | $66.07 | $93.33 | $134.90 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $29.51 Typical High $42.66 | Professional | 80 · Assistant surgeon | $20.89 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $29.51 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $20.89 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $29.51 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $25.70 Typical High $37.15 | Professional | AS · PA/NP assist | $18.20 | $25.70 | $37.15 |
Where Wisconsin sits
The same service costs 3.8 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
$240
AK $309FL $81.28
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.