How much rates vary
Facilitymedian $2,818 · 10th to 90th $126 to $8,913Professionalmedian $309 · 10th to 90th $105 to $759
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 $79.43 Median $125.89 Typical High $14,454.40 | Facility | None | $79.43 | $125.89 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $851.14 | Professional | None | $79.43 | $125.89 | $851.14 |
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 $151.36 Median $426.58 Typical High $776.25 | Professional | None | $151.36 | $426.58 | $776.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $645.65 Typical High $1,174.90 | Professional | 50 · Both sides | $229.09 | $645.65 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Facility | None | $302.00 | $338.84 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $478.63 | Professional | None | $85.11 | $177.83 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $104.71 Median $7,762.47 Typical High $14,454.40 | Facility | None | $104.71 | $7,762.47 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $331.13 | Professional | None | $186.21 | $208.93 | $331.13 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $3,548.13 Typical High $19,054.61 | Facility | None | $123.03 | $3,548.13 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $537.03 Typical High $831.76 | Professional | None | $134.90 | $537.03 | $831.76 |
Network Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | None | $281.84 | $281.84 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $223.87 | Facility | None | $77.62 | $123.03 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $407.38 | Professional | None | $128.82 | $239.88 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $281.84 | Professional | None | $117.49 | $177.83 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $407.38 | Professional | None | $263.03 | $263.03 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $616.60 | Professional | None | $354.81 | $436.52 | $616.60 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,244.36 Typical High $19,498.45 | Facility | None | $2,511.89 | $7,244.36 | $19,498.45 |
United Setting Professional Modifier None Typical Low $85.11 Median $245.47 Typical High $524.81 | Professional | None | $85.11 | $245.47 | $524.81 |
8 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 $38.90 Median $38.90 Typical High $63.10 | Facility | 52 · Reduced service | $38.90 | $38.90 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $25.12 | Facility | 53 · Discontinued | $15.85 | $15.85 | $25.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $18.62 | Facility | 55 · Aftercare only | $11.75 | $11.75 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $12.59 | Facility | 56 · Pre-op care only | $7.94 | $7.94 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $63.10 Typical High $426.58 | Professional | 52 · Reduced service | $38.90 | $63.10 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $25.12 Typical High $169.82 | Professional | 53 · Discontinued | $15.85 | $25.12 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $18.62 Typical High $128.82 | Professional | 55 · Aftercare only | $11.75 | $18.62 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.59 Typical High $85.11 | Professional | 56 · Pre-op care only | $7.94 | $12.59 | $85.11 |
Where Wisconsin sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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
$468
OK $832MI $95.50
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.