How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,479 to $14,454Professionalmedian $3,631 · 10th to 90th $1,288 to $8,128
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 $1,288.25 Median $11,220.18 Typical High $14,454.40 | Facility | None | $1,288.25 | $11,220.18 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $11,220.18 | Professional | None | $1,230.27 | $1,288.25 | $11,220.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $8,709.64 | Professional | None | $1,348.96 | $3,890.45 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $4,365.16 Typical High $7,585.78 | Facility | None | $1,862.09 | $4,365.16 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $6,456.54 | Professional | None | $1,318.26 | $1,995.26 | $6,456.54 |
DeanCare Setting Facility Modifier None Typical Low $1,288.25 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,288.25 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $3,467.37 | Professional | None | $2,041.74 | $2,089.30 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $6,606.93 Typical High $15,848.93 | Facility | None | $1,230.27 | $6,606.93 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $3,548.13 Typical High $8,709.64 | Professional | None | $1,318.26 | $3,548.13 | $8,709.64 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $4,570.88 | Professional | None | $1,621.81 | $2,630.27 | $4,570.88 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,398.83 | Facility | None | $933.25 | $1,288.25 | $2,398.83 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $5,011.87 | Professional | None | $1,174.90 | $2,511.89 | $5,011.87 |
Quartz Setting Facility Modifier None Typical Low $1,479.11 Median $5,248.07 Typical High $8,317.64 | Facility | None | $1,479.11 | $5,248.07 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,890.45 | Professional | None | $1,318.26 | $1,584.89 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $5,888.44 Typical High $6,606.93 | Professional | None | $4,073.80 | $5,888.44 | $6,606.93 |
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 $1,202.26 Median $2,884.03 Typical High $6,309.57 | Professional | None | $1,202.26 | $2,884.03 | $6,309.57 |
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 $645.65 Median $645.65 Typical High $6,165.95 | Professional | 52 · Reduced service | $645.65 | $645.65 | $6,165.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $2,511.89 | Professional | 53 · Discontinued | $263.03 | $263.03 | $2,511.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $9,332.54 | Professional | 54 · Surgery only | $977.24 | $977.24 | $9,332.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $1,862.09 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $1,862.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $1,258.93 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $8,709.64 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $8,709.64 |
Where Wisconsin sits
The same service costs 5.5 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
$4,266
AK $4,786TX $871
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.