How much rates vary
Facilitymedian $5,129 · 10th to 90th $933 to $9,120Professionalmedian $1,288 · 10th to 90th $417 to $3,020
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 $416.87 Median $3,090.30 Typical High $14,454.40 | Facility | None | $416.87 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $4,168.69 | Professional | None | $416.87 | $416.87 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $1,513.56 Typical High $3,162.28 | Professional | None | $489.78 | $1,513.56 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,778.28 Typical High $4,365.16 | Facility | None | $933.25 | $1,778.28 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,445.44 | Professional | None | $549.54 | $831.76 | $1,445.44 |
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 $707.95 Median $1,047.13 Typical High $1,318.26 | Professional | None | $707.95 | $1,047.13 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $3,388.44 Typical High $8,912.51 | Facility | None | $724.44 | $3,388.44 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $1,230.27 Typical High $2,691.53 | Professional | None | $457.09 | $1,230.27 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,318.26 | Professional | None | $588.84 | $1,000.00 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $794.33 | Facility | None | $398.11 | $489.78 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $933.25 Typical High $1,698.24 | Professional | None | $407.38 | $933.25 | $1,698.24 |
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 $549.54 Median $549.54 Typical High $1,258.93 | Professional | None | $549.54 | $549.54 | $1,258.93 |
Security Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Security Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,344.23 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $380.19 Median $1,096.48 Typical High $2,041.74 | Professional | None | $380.19 | $1,096.48 | $2,041.74 |
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 $208.93 Median $208.93 Typical High $2,089.30 | Professional | 52 · Reduced service | $208.93 | $208.93 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $831.76 | Professional | 53 · Discontinued | $83.18 | $83.18 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $3,090.30 | Professional | 54 · Surgery only | $309.03 | $309.03 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $616.60 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $416.87 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $2,884.03 |
Where Wisconsin sits
The same service costs 6.2 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
$1,622
AK $1,862UT $302
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.