How much rates vary
Facilitymedian $1,259 · 10th to 90th $71 to $2,818Professionalmedian $151 · 10th to 90th $71 to $631
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 $70.79 Median $79.43 Typical High $14,454.40 | Facility | None | $70.79 | $79.43 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $794.33 | Professional | None | $70.79 | $79.43 | $794.33 |
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 $64.57 Median $199.53 Typical High $416.87 | Professional | None | $64.57 | $199.53 | $416.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $295.12 Typical High $616.60 | Professional | 50 · Both sides | $97.72 | $295.12 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $263.03 | Facility | None | $154.88 | $173.78 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $114.82 Typical High $218.78 | Professional | None | $66.07 | $114.82 | $218.78 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $2,754.23 Typical High $5,128.61 | Facility | None | $60.26 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $162.18 | Professional | None | $95.50 | $128.82 | $162.18 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $194.98 Typical High $239.88 | Professional | 50 · Both sides | $141.25 | $194.98 | $239.88 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $1,318.26 Typical High $1,778.28 | Facility | None | $64.57 | $1,318.26 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $812.83 Typical High $3,467.37 | Professional | None | $89.13 | $812.83 | $3,467.37 |
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 $85.11 Median $131.83 Typical High $190.55 | Professional | None | $85.11 | $131.83 | $190.55 |
Prevea360 Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $120.23 | Facility | None | $53.70 | $64.57 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $131.83 Typical High $223.87 | Professional | None | $63.10 | $131.83 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $190.55 | Professional | None | $102.33 | $114.82 | $190.55 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None | $245.47 | $245.47 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $537.03 | Professional | None | $234.42 | $380.19 | $537.03 |
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 $177.83 Typical High $295.12 | Professional | None | $64.57 | $177.83 | $295.12 |
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 $35.48 Median $35.48 Typical High $39.81 | Facility | 52 · Reduced service | $35.48 | $35.48 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $16.22 | Facility | 53 · Discontinued | $14.13 | $14.13 | $16.22 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $53.70 Typical High $60.26 | Facility | 54 · Surgery only | $53.70 | $53.70 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $12.02 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $12.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.94 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $39.81 Typical High $398.11 | Professional | 52 · Reduced service | $35.48 | $39.81 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.22 Typical High $158.49 | Professional | 53 · Discontinued | $14.13 | $16.22 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $60.26 Typical High $588.84 | Professional | 54 · Surgery only | $53.70 | $60.26 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.02 Typical High $117.49 | Professional | 55 · Aftercare only | $10.72 | $12.02 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.94 Typical High $79.43 | Professional | 56 · Pre-op care only | $7.08 | $7.94 | $79.43 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $64.57 Typical High $79.43 | Professional | 51 · Multiple procedures | $47.86 | $64.57 | $79.43 |
Where Wisconsin sits
The same service costs 3.4 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
$162
AK $182FL $53.70
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.