How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,096 to $11,220Professionalmedian $1,660 · 10th to 90th $603 to $3,715
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 $616.60 Median $8,317.64 Typical High $14,454.40 | Facility | None | $616.60 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $5,128.61 | Professional | None | $616.60 | $616.60 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,481.54 | Facility | None | $5,011.87 | $8,317.64 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $1,862.09 Typical High $4,073.80 | Professional | None | $524.81 | $1,862.09 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $5,888.44 | Facility | None | $1,071.52 | $2,041.74 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,570.40 | Professional | None | $870.96 | $1,445.44 | $2,570.40 |
DeanCare Setting Facility Modifier None Typical Low $588.84 Median $5,128.61 Typical High $9,332.54 | Facility | None | $588.84 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,584.89 | Professional | None | $977.24 | $1,230.27 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $5,623.41 Typical High $12,882.50 | Facility | None | $912.01 | $5,623.41 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,621.81 Typical High $2,630.27 | Professional | None | $562.34 | $1,621.81 | $2,630.27 |
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 $676.08 Median $1,148.15 Typical High $1,548.82 | Professional | None | $676.08 | $1,148.15 | $1,548.82 |
Prevea360 Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $933.25 | Facility | None | $501.19 | $645.65 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $1,202.26 Typical High $2,041.74 | Professional | None | $524.81 | $1,202.26 | $2,041.74 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $3,890.45 Typical High $6,456.54 | Facility | None | $933.25 | $3,890.45 | $6,456.54 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
Security Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Security Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,238.72 | $2,951.21 | $3,388.44 |
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 $524.81 Median $1,621.81 Typical High $2,511.89 | Professional | None | $524.81 | $1,621.81 | $2,511.89 |
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 $309.03 Median $309.03 Typical High $2,570.40 | Professional | 52 · Reduced service | $309.03 | $309.03 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $1,023.29 | Professional | 53 · Discontinued | $123.03 | $123.03 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $3,801.89 | Professional | 54 · Surgery only | $457.09 | $457.09 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $758.58 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $512.86 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $3,548.13 |
Where Wisconsin sits
The same service costs 5.4 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
$2,344
AK $2,630TX $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.