How much rates vary
Facilitymedian $2,344 · 10th to 90th $468 to $5,623Professionalmedian $832 · 10th to 90th $282 to $1,778
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 $229.09 Median $309.03 Typical High $14,454.40 | Facility | None | $229.09 | $309.03 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $630.96 | Professional | None | $229.09 | $309.03 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,202.26 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $977.24 Typical High $2,041.74 | Professional | None | $316.23 | $977.24 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,659.59 | Facility | None | $707.95 | $1,071.52 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $1,148.15 | Professional | None | $281.84 | $436.52 | $1,148.15 |
DeanCare Setting Facility Modifier None Typical Low $251.19 Median $2,570.40 Typical High $4,786.30 | Facility | None | $251.19 | $2,570.40 | $4,786.30 |
DeanCare Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $1,047.13 | Professional | None | $446.68 | $630.96 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $2,187.76 Typical High $4,786.30 | Facility | None | $457.09 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $1,023.29 Typical High $1,995.26 | Professional | None | $323.59 | $1,023.29 | $1,995.26 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $1,071.52 | Professional | None | $407.38 | $691.83 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $616.60 | Facility | None | $223.87 | $302.00 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $1,174.90 | Professional | None | $309.03 | $630.96 | $1,174.90 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $1,905.46 | Facility | None | $630.96 | $1,202.26 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $794.33 | Professional | None | $281.84 | $380.19 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,000.00 | Professional | None | $724.44 | $724.44 | $1,000.00 |
Security Health Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,548.82 | Professional | None | $891.25 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,677.35 | Facility | None | $707.95 | $2,818.38 | $4,677.35 |
United Setting Professional Modifier None Typical Low $263.03 Median $776.25 Typical High $1,513.56 | Professional | None | $263.03 | $776.25 | $1,513.56 |
12 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 Facility Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | 52 · Reduced service | $114.82 | $114.82 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $61.66 | Facility | 53 · Discontinued | $45.71 | $45.71 | $61.66 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $229.09 | Facility | 54 · Surgery only | $169.82 | $169.82 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $45.71 | Facility | 55 · Aftercare only | $33.88 | $33.88 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $30.90 | Facility | 56 · Pre-op care only | $22.91 | $22.91 | $30.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $158.49 Typical High $213.80 | Facility | 78 · Unplanned return to OR | $158.49 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $151.36 Typical High $870.96 | Professional | 52 · Reduced service | $114.82 | $151.36 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $61.66 Typical High $354.81 | Professional | 53 · Discontinued | $45.71 | $61.66 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $229.09 Typical High $1,318.26 | Professional | 54 · Surgery only | $169.82 | $229.09 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $45.71 Typical High $263.03 | Professional | 55 · Aftercare only | $33.88 | $45.71 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $30.90 Typical High $177.83 | Professional | 56 · Pre-op care only | $22.91 | $30.90 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $213.80 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $158.49 | $213.80 | $1,230.27 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$955
AK $1,000UT $234
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.