How much rates vary
Facilitymedian $1,445 · 10th to 90th $204 to $3,802Professionalmedian $245 · 10th to 90th $79 to $575
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 $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $3,630.78 | Professional | None | $74.13 | $74.13 | $3,630.78 |
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 $91.20 Median $281.84 Typical High $630.96 | Professional | None | $91.20 | $281.84 | $630.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $426.58 Typical High $933.25 | Professional | 50 · Both sides | $138.04 | $426.58 | $933.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $57.54 Median $177.83 Typical High $389.05 | Professional | 62 · Two surgeons | $57.54 | $177.83 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $1,096.48 | Facility | None | $204.17 | $239.88 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $281.84 | Professional | None | $125.89 | $169.82 | $281.84 |
DeanCare Setting Facility Modifier None Typical Low $85.11 Median $2,818.38 Typical High $5,128.61 | Facility | None | $85.11 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $275.42 | Professional | None | $138.04 | $208.93 | $275.42 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $1,000.00 Typical High $1,778.28 | Facility | None | $151.36 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $218.78 Typical High $457.09 | Professional | None | $93.33 | $218.78 | $457.09 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | None | $186.21 | $234.42 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $169.82 | Facility | None | $72.44 | $91.20 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $338.84 | Professional | None | $75.86 | $158.49 | $338.84 |
Quartz Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,659.59 | Facility | None | $489.78 | $758.58 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $275.42 | Professional | None | $131.83 | $147.91 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $602.56 | Professional | None | $346.74 | $426.58 | $602.56 |
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 $79.43 Median $213.80 Typical High $457.09 | Professional | None | $79.43 | $213.80 | $457.09 |
4 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 $37.15 Median $37.15 Typical High $1,819.70 | Professional | 52 · Reduced service | $37.15 | $37.15 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $724.44 | Professional | 53 · Discontinued | $14.79 | $14.79 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $549.54 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $363.08 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $363.08 |
Where Wisconsin sits
The same service costs 4.5 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
$316
AK $316KY $70.79
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.