How much rates vary
Facilitymedian $4,074 · 10th to 90th $933 to $10,471Professionalmedian $1,380 · 10th to 90th $447 to $3,162
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 $446.68 Median $3,090.30 Typical High $14,454.40 | Facility | None | $446.68 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $4,168.69 | Professional | None | $446.68 | $446.68 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $8,709.64 | Facility | None | $2,818.38 | $4,786.30 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $1,621.81 Typical High $3,388.44 | Professional | None | $524.81 | $1,621.81 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,905.46 Typical High $4,365.16 | Facility | None | $1,000.00 | $1,905.46 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,548.82 | Professional | None | $588.84 | $891.25 | $1,548.82 |
DeanCare Setting Facility Modifier None Typical Low $467.74 Median $3,162.28 Typical High $5,888.44 | Facility | None | $467.74 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,412.54 | Professional | None | $758.58 | $1,122.02 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $5,623.41 Typical High $10,964.78 | Facility | None | $851.14 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,348.96 Typical High $2,884.03 | Professional | None | $489.78 | $1,348.96 | $2,884.03 |
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 $630.96 Median $1,071.52 Typical High $1,412.54 | Professional | None | $630.96 | $1,071.52 | $1,412.54 |
Prevea360 Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $851.14 | Facility | None | $426.58 | $501.19 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $436.52 Median $1,000.00 Typical High $1,819.70 | Professional | None | $436.52 | $1,000.00 | $1,819.70 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $4,786.30 | Facility | None | $724.44 | $2,884.03 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,348.96 | Professional | None | $588.84 | $588.84 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,511.89 | $3,311.31 |
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 $416.87 Median $1,174.90 Typical High $2,137.96 | Professional | None | $416.87 | $1,174.90 | $2,137.96 |
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 $223.87 Median $223.87 Typical High $2,089.30 | Professional | 52 · Reduced service | $223.87 | $223.87 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $831.76 | Professional | 53 · Discontinued | $89.13 | $89.13 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $3,090.30 | Professional | 54 · Surgery only | $331.13 | $331.13 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $630.96 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $416.87 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $2,884.03 |
Where Wisconsin sits
The same service costs 8.9 times more in Oklahoma 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· 3rd of 51
$1,738
OK $2,951UT $331
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.