How much rates vary
Facilitymedian $8,318 · 10th to 90th $832 to $18,197Professionalmedian $5,248 · 10th to 90th $1,862 to $11,749
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 $1,949.84 Median $1,949.84 Typical High $14,454.40 | Facility | None | $1,949.84 | $1,949.84 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $14,454.40 | Professional | None | $1,949.84 | $1,949.84 | $14,454.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $12,589.25 Typical High $19,952.62 | Facility | None | $10,000.00 | $12,589.25 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $6,025.60 Typical High $11,748.98 | Professional | None | $1,819.70 | $6,025.60 | $11,748.98 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $977.24 Typical High $1,862.09 | Professional | 80 · Assistant surgeon | $295.12 | $977.24 | $1,862.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $851.14 Typical High $1,659.59 | Professional | AS · PA/NP assist | $257.04 | $851.14 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,073.80 Typical High $6,309.57 | Facility | None | $758.58 | $4,073.80 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,570.88 Typical High $5,623.41 | Professional | None | $2,570.40 | $4,570.88 | $5,623.41 |
DeanCare Setting Facility Modifier None Typical Low $1,862.09 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,862.09 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $5,248.07 Typical High $8,317.64 | Professional | None | $1,819.70 | $5,248.07 | $8,317.64 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Prevea360 Setting Facility Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $3,162.28 | Facility | None | $1,479.11 | $1,862.09 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $3,235.94 Typical High $4,677.35 | Professional | None | $1,548.82 | $3,235.94 | $4,677.35 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $3,630.78 | Facility | None | $645.65 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | None | $2,570.40 | $2,570.40 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,943.28 | $7,943.28 | $7,943.28 |
Security Health Setting Professional Modifier None Typical Low $8,912.51 Median $10,964.78 Typical High $12,022.64 | Professional | None | $8,912.51 | $10,964.78 | $12,022.64 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $5,128.61 Typical High $7,943.28 | Professional | None | $1,737.80 | $5,128.61 | $7,943.28 |
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 $977.24 Median $977.24 Typical High $7,244.36 | Professional | 52 · Reduced service | $977.24 | $977.24 | $7,244.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $2,884.03 | Professional | 53 · Discontinued | $389.05 | $389.05 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $10,715.19 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $10,715.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $2,137.96 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $1,445.44 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $1,445.44 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Arkansas. 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
$5,623
AK $6,166AR $1,318
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.