How much rates vary
Facilitymedian $1,445 · 10th to 90th $129 to $3,802Professionalmedian $39 · 10th to 90th $12 to $85
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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $158.49 | Professional | None | $11.22 | $11.22 | $158.49 |
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 $15.85 Median $44.67 Typical High $95.50 | Professional | None | $15.85 | $44.67 | $95.50 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $19.95 Median $63.10 Typical High $141.25 | Professional | 50 · Both sides | $19.95 | $63.10 | $141.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $8.51 Median $26.30 Typical High $58.88 | Professional | 62 · Two surgeons | $8.51 | $26.30 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $1,096.48 | Facility | None | $30.90 | $35.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $66.07 | Professional | None | $19.05 | $27.54 | $66.07 |
DeanCare Setting Facility Modifier None Typical Low $12.88 Median $2,818.38 Typical High $5,128.61 | Facility | None | $12.88 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $40.74 | Professional | None | $20.89 | $30.90 | $40.74 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $1,000.00 Typical High $1,778.28 | Facility | None | $128.82 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $39.81 Typical High $120.23 | Professional | None | $14.45 | $39.81 | $120.23 |
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 $28.18 Median $35.48 Typical High $42.66 | Professional | None | $28.18 | $35.48 | $42.66 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $13.80 Typical High $120.23 | Facility | None | $10.72 | $13.80 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $51.29 | Professional | None | $11.48 | $24.55 | $51.29 |
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 $21.38 Median $22.39 Typical High $41.69 | Professional | None | $21.38 | $22.39 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $91.20 | Professional | None | $52.48 | $64.57 | $91.20 |
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 $12.02 Median $33.88 Typical High $67.61 | Professional | None | $12.02 | $33.88 | $67.61 |
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 $5.62 Median $5.62 Typical High $79.43 | Professional | 52 · Reduced service | $5.62 | $5.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $32.36 | Professional | 53 · Discontinued | $2.24 | $2.24 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.70 Typical High $23.99 | Professional | 55 · Aftercare only | $1.70 | $1.70 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $15.85 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $15.85 |
Where Wisconsin sits
The same service costs 12.3 times more in Florida 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· 3rd of 51
$53.70
FL $132KY $10.72
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.