How much rates vary
Facilitymedian $1,380 · 10th to 90th $93 to $3,981Professionalmedian $141 · 10th to 90th $66 to $417
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 $69.18 Median $93.33 Typical High $14,454.40 | Facility | None | $69.18 | $93.33 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $467.74 | Professional | None | $60.26 | $81.28 | $467.74 |
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 $66.07 Median $186.21 Typical High $380.19 | Professional | None | $66.07 | $186.21 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $100.00 Median $275.42 Typical High $575.44 | Professional | 50 · Both sides | $100.00 | $275.42 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $181.97 Typical High $281.84 | Facility | None | $50.12 | $181.97 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $134.90 Typical High $234.42 | Professional | None | $50.12 | $134.90 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $58.88 Median $2,630.27 Typical High $5,128.61 | Facility | None | $58.88 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $190.55 | Professional | None | $93.33 | $134.90 | $190.55 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $912.01 Typical High $1,778.28 | Facility | None | $102.33 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $234.42 Typical High $912.01 | Professional | None | $75.86 | $234.42 | $912.01 |
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 $128.82 Median $169.82 Typical High $251.19 | Professional | None | $128.82 | $169.82 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $131.83 | Facility | None | $54.95 | $75.86 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $131.83 Typical High $223.87 | Professional | None | $70.79 | $131.83 | $223.87 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Facility | None | $50.12 | $50.12 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $97.72 Typical High $134.90 | Professional | None | $37.15 | $97.72 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $398.11 Typical High $660.69 | Professional | None | $169.82 | $398.11 | $660.69 |
The Alliance Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $398.11 | Professional | None | $95.50 | $199.53 | $398.11 |
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 $61.66 Median $134.90 Typical High $309.03 | Professional | None | $61.66 | $134.90 | $309.03 |
10 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 $34.67 Median $34.67 Typical High $46.77 | Facility | 52 · Reduced service | $34.67 | $34.67 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $19.05 | Facility | 53 · Discontinued | $13.80 | $13.80 | $19.05 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $52.48 Median $52.48 Typical High $70.79 | Facility | 54 · Surgery only | $52.48 | $52.48 | $70.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $14.13 | Facility | 55 · Aftercare only | $10.47 | $10.47 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $9.33 | Facility | 56 · Pre-op care only | $6.92 | $6.92 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $46.77 Typical High $316.23 | Professional | 52 · Reduced service | $34.67 | $46.77 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.05 Typical High $125.89 | Professional | 53 · Discontinued | $13.80 | $19.05 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $70.79 Typical High $478.63 | Professional | 54 · Surgery only | $52.48 | $70.79 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $95.50 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.33 Typical High $63.10 | Professional | 56 · Pre-op care only | $6.92 | $9.33 | $63.10 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$182
AK $200FL $54.95
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.