How much rates vary
Facilitymedian $1,202 · 10th to 90th $47 to $3,802Professionalmedian $95 · 10th to 90th $44 to $251
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 $30.90 Median $46.77 Typical High $14,454.40 | Facility | None | $30.90 | $46.77 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $199.53 | Professional | None | $30.90 | $46.77 | $199.53 |
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 $44.67 Median $128.82 Typical High $223.87 | Professional | None | $44.67 | $128.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $190.55 Typical High $338.84 | Professional | 50 · Both sides | $67.61 | $190.55 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $204.17 | Facility | None | $38.90 | $64.57 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $199.53 | Professional | None | $61.66 | $95.50 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $38.90 Median $2,630.27 Typical High $5,128.61 | Facility | None | $38.90 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $125.89 | Professional | None | $58.88 | $83.18 | $125.89 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $87.10 Median $125.89 Typical High $186.21 | Professional | 50 · Both sides | $87.10 | $125.89 | $186.21 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $812.83 Typical High $1,778.28 | Facility | None | $70.79 | $812.83 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $194.98 Typical High $380.19 | Professional | None | $56.23 | $194.98 | $380.19 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $147.91 | Professional | None | $61.66 | $100.00 | $147.91 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $54.95 Typical High $575.44 | Facility | None | $30.90 | $54.95 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $114.82 Typical High $213.80 | Professional | None | $54.95 | $114.82 | $213.80 |
Quartz Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $72.44 | Facility | None | $38.90 | $50.12 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $114.82 | Professional | None | $63.10 | $93.33 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $177.83 | Professional | None | $117.49 | $117.49 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $316.23 | Professional | None | $125.89 | $199.53 | $316.23 |
The Alliance Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $331.13 | Professional | None | $85.11 | $165.96 | $331.13 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $229.09 | Professional | None | $44.67 | $77.62 | $229.09 |
7 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 54 · Surgery only Typical Low $23.44 Median $23.44 Typical High $34.67 | Facility | 54 · Surgery only | $23.44 | $23.44 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.44 Median $34.67 Typical High $436.52 | Professional | 54 · Surgery only | $23.44 | $34.67 | $436.52 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $41.69 Typical High $63.10 | Professional | 51 · Multiple procedures | $29.51 | $41.69 | $63.10 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $13.18 Typical High $19.95 | Professional | 80 · Assistant surgeon | $9.33 | $13.18 | $19.95 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $13.18 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $9.33 | $13.18 | $19.95 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $13.18 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $13.18 | $19.95 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $11.75 Typical High $17.38 | Professional | AS · PA/NP assist | $8.13 | $11.75 | $17.38 |
Where Wisconsin sits
The same service costs 3.3 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
$110
AK $135KY $40.74
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.