How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,047 to $9,120Professionalmedian $2,455 · 10th to 90th $851 to $3,981
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 $758.58 Median $6,456.54 Typical High $14,454.40 | Facility | None | $758.58 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $27,542.29 | Professional | None | $758.58 | $758.58 | $27,542.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $2,691.53 Typical High $3,981.07 | Professional | None | $1,023.29 | $2,691.53 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $4,073.80 Typical High $6,025.60 | Professional | 50 · Both sides | $1,548.82 | $4,073.80 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,454.71 Typical High $3,548.13 | Facility | None | $954.99 | $2,454.71 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $4,897.79 | Professional | None | $954.99 | $1,584.89 | $4,897.79 |
DeanCare Setting Facility Modifier None Typical Low $977.24 Median $3,162.28 Typical High $5,888.44 | Facility | None | $977.24 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,584.89 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $3,388.44 Typical High $8,317.64 | Facility | None | $977.24 | $3,388.44 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $2,398.83 Typical High $6,606.93 | Professional | None | $933.25 | $2,398.83 | $6,606.93 |
Network Health Setting Facility Modifier None Typical Low $1,778.28 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,778.28 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,995.26 | $2,570.40 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $1,778.28 | Facility | None | $812.83 | $977.24 | $1,778.28 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,949.84 Typical High $3,801.89 | Professional | None | $891.25 | $1,949.84 | $3,801.89 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $2,290.87 Typical High $3,467.37 | Facility | None | $758.58 | $2,290.87 | $3,467.37 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $2,137.96 | Professional | None | $870.96 | $1,000.00 | $2,137.96 |
Security Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Security Health Setting Professional Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $4,365.16 | Professional | None | $1,621.81 | $3,801.89 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,778.28 Typical High $3,630.78 | Professional | None | $812.83 | $1,778.28 | $3,630.78 |
6 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 Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $13,803.84 | Professional | 52 · Reduced service | $380.19 | $380.19 | $13,803.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $5,623.41 | Professional | 53 · Discontinued | $151.36 | $151.36 | $5,623.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $20,892.96 | Professional | 54 · Surgery only | $562.34 | $562.34 | $20,892.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $4,168.69 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $4,168.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $2,754.23 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $19,498.45 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $19,498.45 |
Where Wisconsin sits
The same service costs 7.6 times more in Alaska than in Texas. 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
$2,692
AK $3,631TX $479
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.