How much rates vary
Facilitymedian $1,995 · 10th to 90th $537 to $3,236Professionalmedian $1,047 · 10th to 90th $562 to $1,349
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $537.03 Median $537.03 Typical High $5,011.87 | Facility | None | $537.03 | $537.03 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | None | $512.86 | $537.03 | $562.34 |
BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,348.96 | Professional | None | $891.25 | $1,148.15 | $1,348.96 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $1,071.52 Median $1,380.38 Typical High $1,621.81 | Professional | 22 · Increased work | $1,071.52 | $1,380.38 | $1,621.81 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,698.24 Typical High $1,995.26 | Professional | 50 · Both sides | $1,318.26 | $1,698.24 | $1,995.26 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $933.25 | Professional | 54 · Surgery only | $616.60 | $794.33 | $933.25 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $114.82 Typical High $134.90 | Professional | 56 · Pre-op care only | $89.13 | $114.82 | $134.90 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $851.14 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $660.69 | $851.14 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Facility | None | $912.01 | $912.01 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,659.59 | Professional | None | $645.65 | $1,096.48 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,995.26 Typical High $3,235.94 | Facility | None | $537.03 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,412.54 | Professional | None | $562.34 | $1,000.00 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,995.26 | $3,019.95 | $3,235.94 |
United Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,122.02 | Professional | None | $562.34 | $1,000.00 | $1,122.02 |
Where North Dakota sits
The same service costs 4.3 times more in Wisconsin than in Montana. 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.
Physician feeFacility fee
WI $7,406MT $1,722
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.