How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,698 to $12,882Professionalmedian $8,128 · 10th to 90th $2,884 to $24,547
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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $12,882.50 | Professional | None | $5,370.32 | $5,370.32 | $12,882.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,786.30 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $11,220.18 Typical High $28,840.32 | Professional | None | $2,884.03 | $11,220.18 | $28,840.32 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $3,235.94 Typical High $4,897.79 | Facility | None | $1,023.29 | $3,235.94 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $7,413.10 Typical High $13,803.84 | Professional | None | $3,388.44 | $7,413.10 | $13,803.84 |
DeanCare Setting Facility Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,398.83 | $3,162.28 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $6,606.93 Typical High $15,135.61 | Facility | None | $1,230.27 | $6,606.93 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $6,760.83 Typical High $25,118.86 | Professional | None | $2,290.87 | $6,760.83 | $25,118.86 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $9,549.93 Typical High $15,848.93 | Facility | None | $4,073.80 | $9,549.93 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $12,022.64 Median $13,489.63 Typical High $13,489.63 | Professional | None | $12,022.64 | $13,489.63 | $13,489.63 |
Prevea360 Setting Facility Modifier None Typical Low $3,090.30 Median $6,025.60 Typical High $11,220.18 | Facility | None | $3,090.30 | $6,025.60 | $11,220.18 |
Quartz Setting Professional Modifier None Typical Low $5,888.44 Median $11,220.18 Typical High $16,982.44 | Professional | None | $5,888.44 | $11,220.18 | $16,982.44 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $2,691.53 Typical High $4,073.80 | Facility | None | $812.83 | $2,691.53 | $4,073.80 |
Quartz Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $9,332.54 | Professional | None | $7,413.10 | $7,413.10 | $9,332.54 |
Security Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,230.27 | $1,230.27 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $13,182.57 | Professional | None | $2,290.87 | $5,754.40 | $13,182.57 |
5 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 $2,691.53 Median $2,691.53 Typical High $6,456.54 | Professional | 52 · Reduced service | $2,691.53 | $2,691.53 | $6,456.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,071.52 Typical High $2,570.40 | Professional | 53 · Discontinued | $1,071.52 | $1,071.52 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $812.83 Median $812.83 Typical High $1,949.84 | Professional | 55 · Aftercare only | $812.83 | $812.83 | $1,949.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $537.03 Typical High $1,288.25 | Professional | 56 · Pre-op care only | $537.03 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,801.89 Median $3,801.89 Typical High $9,120.11 | Professional | 78 · Unplanned return to OR | $3,801.89 | $3,801.89 | $9,120.11 |
Where Wisconsin sits
The same service costs 21.4 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· 3rd of 51
$7,413
AK $13,804KY $646
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.