How much rates vary
Facilitymedian $3,090 · 10th to 90th $776 to $6,918Professionalmedian $2,399 · 10th to 90th $324 to $11,220
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 $234.42 Median $2,398.83 Typical High $14,454.40 | Facility | None | $234.42 | $2,398.83 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $2,398.83 Typical High $8,128.31 | Professional | None | $234.42 | $2,398.83 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,818.38 | $4,786.30 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $2,041.74 Typical High $12,589.25 | Professional | None | $446.68 | $2,041.74 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,479.11 | $2,511.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $1,737.80 Typical High $8,709.64 | Professional | None | $302.00 | $1,737.80 | $8,709.64 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $5,011.87 Typical High $9,332.54 | Facility | None | $263.03 | $5,011.87 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $6,309.57 | Professional | None | $478.63 | $741.31 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $2,511.89 Typical High $5,623.41 | Facility | None | $588.84 | $2,511.89 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $5,128.61 Typical High $10,715.19 | Professional | None | $2,041.74 | $5,128.61 | $10,715.19 |
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 $512.86 Median $3,388.44 Typical High $8,128.31 | Professional | None | $512.86 | $3,388.44 | $8,128.31 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $457.09 Typical High $3,467.37 | Facility | None | $223.87 | $457.09 | $3,467.37 |
Quartz Setting Professional Modifier None Typical Low $436.52 Median $2,630.27 Typical High $7,943.28 | Professional | None | $436.52 | $2,630.27 | $7,943.28 |
Quartz Setting Facility Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $3,090.30 | Facility | None | $1,318.26 | $1,949.84 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $741.31 Typical High $4,168.69 | Professional | None | $302.00 | $741.31 | $4,168.69 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $13,182.57 | Professional | None | $1,122.02 | $1,122.02 | $13,182.57 |
Security Health Setting Professional Modifier None Typical Low $1,202.26 Median $7,079.46 Typical High $18,197.01 | Professional | None | $1,202.26 | $7,079.46 | $18,197.01 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $316.23 Median $1,584.89 Typical High $8,912.51 | Professional | None | $316.23 | $1,584.89 | $8,912.51 |
4 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 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $1,778.28 | Facility | 54 · Surgery only | $173.78 | $173.78 | $1,778.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $1,659.59 | Facility | 78 · Unplanned return to OR | $162.18 | $162.18 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $1,778.28 Typical High $6,025.60 | Professional | 54 · Surgery only | $173.78 | $1,778.28 | $6,025.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $1,659.59 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $162.18 | $1,659.59 | $5,623.41 |
Where Wisconsin sits
The same service costs 7.1 times more in Oregon 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· 3rd of 51
$2,630
OR $2,884TX $407
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.