How much rates vary
Facilitymedian $3,090 · 10th to 90th $776 to $8,913Professionalmedian $1,698 · 10th to 90th $617 to $2,884
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 $549.54 Median $3,090.30 Typical High $14,454.40 | Facility | None | $549.54 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $6,309.57 | Professional | None | $549.54 | $549.54 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $6,760.83 Typical High $11,481.54 | Facility | None | $2,041.74 | $6,760.83 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,884.03 | Professional | None | $741.31 | $1,905.46 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,023.29 | $1,995.26 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $3,548.13 | Professional | None | $691.83 | $1,148.15 | $3,548.13 |
DeanCare Setting Facility Modifier None Typical Low $707.95 Median $3,235.94 Typical High $5,888.44 | Facility | None | $707.95 | $3,235.94 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,148.15 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $6,309.57 | Facility | None | $630.96 | $2,398.83 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,737.80 Typical High $4,786.30 | Professional | None | $660.69 | $1,737.80 | $4,786.30 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,778.28 | Professional | None | $870.96 | $1,380.38 | $1,778.28 |
Prevea360 Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $1,318.26 | Facility | None | $537.03 | $724.44 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $2,754.23 | Professional | None | $660.69 | $1,412.54 | $2,754.23 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $2,290.87 Typical High $3,630.78 | Facility | None | $812.83 | $2,290.87 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,548.82 | Professional | None | $630.96 | $741.31 | $1,548.82 |
Security Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $3,235.94 | Professional | None | $1,148.15 | $2,754.23 | $3,235.94 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $602.56 Median $1,318.26 Typical High $2,630.27 | Professional | None | $602.56 | $1,318.26 | $2,630.27 |
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 $275.42 Median $275.42 Typical High $3,162.28 | Professional | 52 · Reduced service | $275.42 | $275.42 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $1,258.93 | Professional | 53 · Discontinued | $109.65 | $109.65 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $4,786.30 | Professional | 54 · Surgery only | $416.87 | $416.87 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $954.99 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $630.96 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $4,466.84 |
Where Wisconsin sits
The same service costs 7.2 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
$1,995
AK $2,630TX $363
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.