How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,230 to $11,220Professionalmedian $2,754 · 10th to 90th $955 to $4,571
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 $851.14 Median $8,317.64 Typical High $14,454.40 | Facility | None | $851.14 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $10,964.78 | Professional | None | $851.14 | $851.14 | $10,964.78 |
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 $1,148.15 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,148.15 | $3,019.95 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $1,905.46 Typical High $2,951.21 | Professional | 62 · Two surgeons | $724.44 | $1,905.46 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $4,897.79 | Facility | None | $1,202.26 | $3,090.30 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $5,495.41 | Professional | None | $1,071.52 | $1,778.28 | $5,495.41 |
DeanCare Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $9,332.54 | Facility | None | $1,096.48 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,737.80 | $1,778.28 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $5,623.41 Typical High $11,220.18 | Facility | None | $1,096.48 | $5,623.41 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $7,413.10 | Professional | None | $1,047.13 | $2,754.23 | $7,413.10 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,348.96 | $2,238.72 | $2,884.03 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,995.26 | Facility | None | $812.83 | $1,096.48 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $4,265.80 | Professional | None | $1,023.29 | $2,187.76 | $4,265.80 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $3,311.31 Typical High $5,370.32 | Facility | None | $933.25 | $3,311.31 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,148.15 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $4,265.80 Typical High $5,011.87 | Professional | None | $1,778.28 | $4,265.80 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $912.01 Median $2,041.74 Typical High $4,073.80 | Professional | None | $912.01 | $2,041.74 | $4,073.80 |
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 $426.58 Median $426.58 Typical High $5,495.41 | Professional | 52 · Reduced service | $426.58 | $426.58 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $2,187.76 | Professional | 53 · Discontinued | $169.82 | $169.82 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $8,128.31 | Professional | 54 · Surgery only | $645.65 | $645.65 | $8,128.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $1,621.81 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $1,096.48 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $7,585.78 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $7,585.78 |
Where Wisconsin sits
The same service costs 8.3 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
$3,090
AK $4,074TX $490
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.