How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,096 to $11,482Professionalmedian $1,950 · 10th to 90th $724 to $4,365
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 $724.44 Median $6,456.54 Typical High $14,454.40 | Facility | None | $724.44 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $6,918.31 | Professional | None | $724.44 | $724.44 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $8,511.38 Typical High $12,882.50 | Facility | None | $5,128.61 | $8,511.38 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $2,187.76 Typical High $4,786.30 | Professional | None | $616.60 | $2,187.76 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $3,311.31 Typical High $6,760.83 | Professional | 50 · Both sides | $933.25 | $3,311.31 | $6,760.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $1,380.38 Typical High $2,818.38 | Professional | 62 · Two surgeons | $389.05 | $1,380.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,137.96 Typical High $4,073.80 | Facility | None | $954.99 | $2,137.96 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,698.24 | $3,019.95 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $4,365.16 Typical High $7,762.47 | Facility | None | $691.83 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,412.54 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $5,623.41 Typical High $10,964.78 | Facility | None | $912.01 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,995.26 Typical High $3,162.28 | Professional | None | $724.44 | $1,995.26 | $3,162.28 |
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 $794.33 Median $1,445.44 Typical High $1,995.26 | Professional | None | $794.33 | $1,445.44 | $1,995.26 |
Prevea360 Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,071.52 | Facility | None | $588.84 | $851.14 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $1,348.96 Typical High $2,454.71 | Professional | None | $588.84 | $1,348.96 | $2,454.71 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $4,466.84 | Facility | None | $758.58 | $2,691.53 | $4,466.84 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,754.23 | $3,630.78 | $3,981.07 |
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 $645.65 Median $1,995.26 Typical High $3,090.30 | Professional | None | $645.65 | $1,995.26 | $3,090.30 |
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 $363.08 Median $363.08 Typical High $3,467.37 | Professional | 52 · Reduced service | $363.08 | $363.08 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $1,380.38 | Professional | 53 · Discontinued | $144.54 | $144.54 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $5,128.61 | Professional | 54 · Surgery only | $537.03 | $537.03 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $1,023.29 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $691.83 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $4,786.30 |
Where Wisconsin sits
The same service costs 5.9 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
$2,692
AK $3,236TX $550
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.