How much rates vary
Facilitymedian $1,202 · 10th to 90th $68 to $3,802Professionalmedian $141 · 10th to 90th $62 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 $67.61 Median $87.10 Typical High $14,454.40 | Facility | None | $67.61 | $87.10 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $602.56 | Professional | None | $67.61 | $87.10 | $602.56 |
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 $61.66 Median $181.97 Typical High $371.54 | Professional | None | $61.66 | $181.97 | $371.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $269.15 Typical High $549.54 | Professional | 50 · Both sides | $93.33 | $269.15 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $194.98 | Facility | None | $50.12 | $83.18 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $125.89 Typical High $218.78 | Professional | None | $46.77 | $125.89 | $218.78 |
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 $89.13 Median $128.82 Typical High $173.78 | Professional | None | $89.13 | $128.82 | $173.78 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $912.01 Typical High $1,778.28 | Facility | None | $97.72 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $251.19 Typical High $1,862.09 | Professional | None | $70.79 | $251.19 | $1,862.09 |
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 $120.23 Median $144.54 Typical High $229.09 | Professional | None | $120.23 | $144.54 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $53.70 Median $74.13 Typical High $158.49 | Facility | None | $53.70 | $74.13 | $158.49 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $125.89 Typical High $208.93 | Professional | None | $66.07 | $125.89 | $208.93 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $91.20 | Facility | None | $50.12 | $60.26 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $95.50 Typical High $125.89 | Professional | None | $35.48 | $95.50 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $295.12 | Professional | None | $223.87 | $223.87 | $295.12 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $371.54 Typical High $616.60 | Professional | None | $229.09 | $371.54 | $616.60 |
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 $57.54 Median $131.83 Typical High $288.40 | Professional | None | $57.54 | $131.83 | $288.40 |
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 $33.11 Median $33.11 Typical High $43.65 | Facility | 52 · Reduced service | $33.11 | $33.11 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $17.38 | Facility | 53 · Discontinued | $13.49 | $13.49 | $17.38 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $50.12 Median $50.12 Typical High $66.07 | Facility | 54 · Surgery only | $50.12 | $50.12 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $13.18 | Facility | 55 · Aftercare only | $10.00 | $10.00 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $8.71 | Facility | 56 · Pre-op care only | $6.76 | $6.76 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $43.65 Typical High $295.12 | Professional | 52 · Reduced service | $33.11 | $43.65 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.38 Typical High $120.23 | Professional | 53 · Discontinued | $13.49 | $17.38 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $66.07 Typical High $446.68 | Professional | 54 · Surgery only | $50.12 | $66.07 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.18 Typical High $89.13 | Professional | 55 · Aftercare only | $10.00 | $13.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.71 Typical High $60.26 | Professional | 56 · Pre-op care only | $6.76 | $8.71 | $60.26 |
Where Wisconsin sits
The same service costs 3.7 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
$174
AK $191FL $51.29
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.