How much rates vary
Facilitymedian $224 · 10th to 90th $52 to $398Professionalmedian $182 · 10th to 90th $59 to $575
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 $79.43 Median $79.43 Typical High $223.87 | Facility | None | $79.43 | $79.43 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $645.65 | Professional | None | $70.79 | $138.04 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $218.78 Typical High $602.56 | Professional | None | $79.43 | $218.78 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $524.81 | Facility | None | $302.00 | $389.05 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $134.90 Typical High $302.00 | Professional | None | $47.86 | $134.90 | $302.00 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $229.09 | Facility | None | $48.98 | $91.20 | $229.09 |
DeanCare Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $275.42 | Professional | None | $77.62 | $144.54 | $275.42 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $537.03 | Facility | None | $48.98 | $117.49 | $537.03 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $478.63 Typical High $851.14 | Professional | None | $154.88 | $478.63 | $851.14 |
Network Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Facility | None | $66.07 | $66.07 | $91.20 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $186.21 Typical High $275.42 | Professional | None | $89.13 | $186.21 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $229.09 | Facility | None | $48.98 | $91.20 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $177.83 Typical High $407.38 | Professional | None | $67.61 | $177.83 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $134.90 Typical High $147.91 | Professional | None | $47.86 | $134.90 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $162.18 | Professional | None | $53.70 | $53.70 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $173.78 Typical High $457.09 | Professional | None | $67.61 | $173.78 | $457.09 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $53.70 Median $141.25 Typical High $354.81 | Professional | None | $53.70 | $141.25 | $354.81 |
9 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 $39.81 Median $39.81 Typical High $112.20 | Facility | 52 · Reduced service | $39.81 | $39.81 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $44.67 | Facility | 53 · Discontinued | $15.85 | $15.85 | $44.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $33.88 | Facility | 55 · Aftercare only | $11.75 | $11.75 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $22.39 | Facility | 56 · Pre-op care only | $7.94 | $7.94 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $69.18 Typical High $323.59 | Professional | 52 · Reduced service | $39.81 | $69.18 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $27.54 Typical High $128.82 | Professional | 53 · Discontinued | $15.85 | $27.54 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $20.89 Typical High $97.72 | Professional | 55 · Aftercare only | $11.75 | $20.89 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $13.80 Typical High $64.57 | Professional | 56 · Pre-op care only | $7.94 | $13.80 | $64.57 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $72.44 Typical High $138.04 | Professional | 51 · Multiple procedures | $38.90 | $72.44 | $138.04 |
Where Wisconsin sits
The same service costs 3.5 times more in Wisconsin than in Washington, DC. 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· 1st of 51
$182
WI $182DC $52.48
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.