How much rates vary
Facilitymedian $1,349 · 10th to 90th $158 to $3,802Professionalmedian $102 · 10th to 90th $59 to $479
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 $66.07 Median $1,905.46 Typical High $14,454.40 | Facility | None | $66.07 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $616.60 | Professional | None | $58.88 | $66.07 | $616.60 |
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 $52.48 Median $165.96 Typical High $426.58 | Professional | None | $52.48 | $165.96 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $416.87 Typical High $741.31 | Facility | None | $128.82 | $416.87 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $181.97 | Professional | None | $79.43 | $93.33 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $2,818.38 Typical High $5,128.61 | Facility | None | $57.54 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $165.96 | Professional | None | $87.10 | $102.33 | $165.96 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $1,000.00 Typical High $1,778.28 | Facility | None | $144.54 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $194.98 Typical High $478.63 | Professional | None | $64.57 | $194.98 | $478.63 |
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 $70.79 Median $123.03 Typical High $158.49 | Professional | None | $70.79 | $123.03 | $158.49 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $102.33 | Facility | None | $45.71 | $64.57 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $95.50 Typical High $213.80 | Professional | None | $46.77 | $95.50 | $213.80 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $537.03 Typical High $1,071.52 | Facility | None | $398.11 | $537.03 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $117.49 | Professional | None | $85.11 | $93.33 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $371.54 | Professional | None | $245.47 | $323.59 | $371.54 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $1,862.09 | Facility | None | $218.78 | $1,174.90 | $1,862.09 |
United Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $234.42 | Professional | None | $52.48 | $93.33 | $234.42 |
10 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 Professional Modifier 52 · Reduced service Typical Low $28.84 Median $33.11 Typical High $295.12 | Professional | 52 · Reduced service | $28.84 | $33.11 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.18 Typical High $117.49 | Professional | 53 · Discontinued | $11.75 | $13.18 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $50.12 Typical High $446.68 | Professional | 54 · Surgery only | $43.65 | $50.12 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.00 Typical High $89.13 | Professional | 55 · Aftercare only | $8.71 | $10.00 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.61 Typical High $58.88 | Professional | 56 · Pre-op care only | $5.89 | $6.61 | $58.88 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $51.29 Typical High $83.18 | Professional | 51 · Multiple procedures | $43.65 | $51.29 | $83.18 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.80 Median $16.22 Typical High $26.30 | Professional | 80 · Assistant surgeon | $13.80 | $16.22 | $26.30 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $16.22 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $13.80 | $16.22 | $26.30 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $16.22 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $16.22 | $26.30 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $14.13 Typical High $23.44 | Professional | AS · PA/NP assist | $12.02 | $14.13 | $23.44 |
Where Wisconsin sits
The same service costs 4.2 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
$135
AK $200FL $47.86
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.