How much rates vary
Facilitymedian $1,318 · 10th to 90th $324 to $4,467Professionalmedian $933 · 10th to 90th $355 to $1,820
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 $234.42 Median $354.81 Typical High $14,454.40 | Facility | None | $234.42 | $354.81 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $2,691.53 | Professional | None | $234.42 | $354.81 | $2,691.53 |
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 $446.68 Median $1,047.13 Typical High $1,905.46 | Professional | None | $446.68 | $1,047.13 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,584.89 | Facility | None | $660.69 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $1,258.93 | Professional | None | $398.11 | $724.44 | $1,258.93 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $4,168.69 Typical High $7,413.10 | Facility | None | $331.13 | $4,168.69 | $7,413.10 |
DeanCare Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,122.02 | Professional | None | $478.63 | $741.31 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $954.99 Typical High $2,089.30 | Facility | None | $251.19 | $954.99 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,348.96 Typical High $5,888.44 | Professional | None | $436.52 | $1,348.96 | $5,888.44 |
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 $588.84 Median $912.01 Typical High $1,174.90 | Professional | None | $588.84 | $912.01 | $1,174.90 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $870.96 | Facility | None | $251.19 | $416.87 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $851.14 Typical High $1,380.38 | Professional | None | $467.74 | $851.14 | $1,380.38 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,288.25 | Facility | None | $645.65 | $831.76 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $794.33 | Professional | None | $389.05 | $524.81 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $794.33 | Professional | None | $512.86 | $512.86 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $630.96 Median $1,318.26 Typical High $2,089.30 | Professional | None | $630.96 | $1,318.26 | $2,089.30 |
The Alliance Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $1,905.46 | Professional | None | $426.58 | $912.01 | $1,905.46 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $331.13 Median $831.76 Typical High $1,621.81 | Professional | None | $331.13 | $831.76 | $1,621.81 |
16 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 $117.49 Median $117.49 Typical High $177.83 | Facility | 52 · Reduced service | $117.49 | $117.49 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $72.44 | Facility | 53 · Discontinued | $46.77 | $46.77 | $72.44 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $269.15 | Facility | 54 · Surgery only | $177.83 | $177.83 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $53.70 | Facility | 55 · Aftercare only | $35.48 | $35.48 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $35.48 | Facility | 56 · Pre-op care only | $23.44 | $23.44 | $35.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $165.96 Typical High $251.19 | Facility | 78 · Unplanned return to OR | $165.96 | $165.96 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $177.83 Typical High $1,479.11 | Professional | 52 · Reduced service | $117.49 | $177.83 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $588.84 | Professional | 53 · Discontinued | $46.77 | $72.44 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $269.15 Typical High $2,238.72 | Professional | 54 · Surgery only | $177.83 | $269.15 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $53.70 Typical High $446.68 | Professional | 55 · Aftercare only | $35.48 | $53.70 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $35.48 Typical High $295.12 | Professional | 56 · Pre-op care only | $23.44 | $35.48 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $251.19 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $165.96 | $251.19 | $2,089.30 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $239.88 Median $371.54 Typical High $562.34 | Professional | 51 · Multiple procedures | $239.88 | $371.54 | $562.34 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $588.84 Typical High $891.25 | Professional | 54 · Surgery only | $389.05 | $588.84 | $891.25 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $147.91 Typical High $223.87 | Professional | 55 · Aftercare only | $97.72 | $147.91 | $223.87 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $616.60 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $407.38 | $616.60 | $933.25 |
Where Wisconsin sits
The same service costs 3.4 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
$1,000
AK $1,122KY $331
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.