How much rates vary
Facilitymedian $1,585 · 10th to 90th $93 to $4,266Professionalmedian $174 · 10th to 90th $78 to $501
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 $51.29 Median $79.43 Typical High $14,454.40 | Facility | None | $51.29 | $79.43 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $1,023.29 | Professional | None | $51.29 | $79.43 | $1,023.29 |
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 $74.13 Median $208.93 Typical High $416.87 | Professional | None | $74.13 | $208.93 | $416.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $316.23 Typical High $616.60 | Professional | 50 · Both sides | $109.65 | $316.23 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $229.09 Typical High $707.95 | Facility | None | $85.11 | $229.09 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $346.74 | Professional | None | $104.71 | $162.18 | $346.74 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $2,570.40 Typical High $4,786.30 | Facility | None | $64.57 | $2,570.40 | $4,786.30 |
DeanCare Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $229.09 | Professional | None | $100.00 | $151.36 | $229.09 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $151.36 Median $229.09 Typical High $346.74 | Professional | 50 · Both sides | $151.36 | $229.09 | $346.74 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $1,479.11 Typical High $3,019.95 | Facility | None | $109.65 | $1,479.11 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $281.84 Typical High $1,148.15 | Professional | None | $120.23 | $281.84 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $398.11 | Professional | None | $79.43 | $165.96 | $398.11 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $186.21 | Facility | None | $51.29 | $95.50 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $204.17 Typical High $371.54 | Professional | None | $100.00 | $204.17 | $371.54 |
Quartz Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $831.76 | Facility | None | $83.18 | $125.89 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $194.98 | Professional | None | $104.71 | $162.18 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $309.03 | Professional | None | $194.98 | $194.98 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $707.95 | Professional | None | $275.42 | $426.58 | $707.95 |
The Alliance Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $77.62 Median $158.49 Typical High $407.38 | Professional | None | $77.62 | $158.49 | $407.38 |
11 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 $25.12 Median $25.12 Typical High $39.81 | Facility | 52 · Reduced service | $25.12 | $25.12 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $15.85 | Facility | 53 · Discontinued | $10.23 | $10.23 | $15.85 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $38.02 Median $38.02 Typical High $60.26 | Facility | 54 · Surgery only | $38.02 | $38.02 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $12.02 | Facility | 55 · Aftercare only | $7.59 | $7.59 | $12.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $7.94 | Facility | 56 · Pre-op care only | $5.13 | $5.13 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $39.81 Typical High $512.86 | Professional | 52 · Reduced service | $25.12 | $39.81 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $15.85 Typical High $204.17 | Professional | 53 · Discontinued | $10.23 | $15.85 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $60.26 Typical High $758.58 | Professional | 54 · Surgery only | $38.02 | $60.26 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $12.02 Typical High $154.88 | Professional | 55 · Aftercare only | $7.59 | $12.02 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.94 Typical High $102.33 | Professional | 56 · Pre-op care only | $5.13 | $7.94 | $102.33 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $50.12 Median $75.86 Typical High $114.82 | Professional | 51 · Multiple procedures | $50.12 | $75.86 | $114.82 |
Where Wisconsin sits
The same service costs 3.2 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
$204
AK $224KY $69.18
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.