How much rates vary
Facilitymedian $1,202 · 10th to 90th $85 to $2,818Professionalmedian $282 · 10th to 90th $59 to $1,259
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 $44.67 Median $213.80 Typical High $14,454.40 | Facility | None | $44.67 | $213.80 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $213.80 Typical High $1,288.25 | Professional | None | $44.67 | $213.80 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $316.23 Typical High $1,318.26 | Professional | None | $81.28 | $316.23 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $954.99 | Facility | None | $562.34 | $630.96 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $208.93 Typical High $724.44 | Professional | None | $58.88 | $208.93 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $2,754.23 Typical High $5,128.61 | Facility | None | $64.57 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $575.44 | Professional | None | $79.43 | $147.91 | $575.44 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $1,230.27 Typical High $2,041.74 | Facility | None | $91.20 | $1,230.27 | $2,041.74 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $776.25 Typical High $2,089.30 | Professional | None | $269.15 | $776.25 | $2,089.30 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $100.00 Median $309.03 Typical High $602.56 | Professional | None | $100.00 | $309.03 | $602.56 |
Prevea360 Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $371.54 | Facility | None | $46.77 | $91.20 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $229.09 Typical High $758.58 | Professional | None | $66.07 | $229.09 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $165.96 Typical High $363.08 | Professional | None | $58.88 | $165.96 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $1,148.15 | Professional | None | $223.87 | $223.87 | $1,148.15 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $1,659.59 | Professional | None | $213.80 | $371.54 | $1,659.59 |
The Alliance Setting Professional Modifier None Typical Low $70.79 Median $245.47 Typical High $1,047.13 | Professional | None | $70.79 | $245.47 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None Typical Low $64.57 Median $234.42 Typical High $870.96 | Professional | None | $64.57 | $234.42 | $870.96 |
9 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 $22.39 Median $22.39 Typical High $107.15 | Facility | 52 · Reduced service | $22.39 | $22.39 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $42.66 | Facility | 53 · Discontinued | $8.91 | $8.91 | $42.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.76 Median $6.76 Typical High $32.36 | Facility | 55 · Aftercare only | $6.76 | $6.76 | $32.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $21.38 | Facility | 56 · Pre-op care only | $4.47 | $4.47 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $107.15 Typical High $676.08 | Professional | 52 · Reduced service | $22.39 | $107.15 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $42.66 Typical High $269.15 | Professional | 53 · Discontinued | $8.91 | $42.66 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $32.36 Typical High $204.17 | Professional | 55 · Aftercare only | $6.76 | $32.36 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $21.38 Typical High $134.90 | Professional | 56 · Pre-op care only | $4.47 | $21.38 | $134.90 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $74.13 Typical High $288.40 | Professional | 51 · Multiple procedures | $38.90 | $74.13 | $288.40 |
Where Wisconsin sits
The same service costs 5.2 times more in North Carolina than in Hawaii. 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· 4th of 51
$282
NC $309HI $58.88
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.