How much rates vary
Facilitymedian $3,162 · 10th to 90th $562 to $7,762Professionalmedian $851 · 10th to 90th $316 to $1,738
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 $269.15 Median $380.19 Typical High $14,454.40 | Facility | None | $269.15 | $380.19 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $2,238.72 | Professional | None | $269.15 | $380.19 | $2,238.72 |
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 $363.08 Median $1,023.29 Typical High $1,819.70 | Professional | None | $363.08 | $1,023.29 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,511.89 | Facility | None | $891.25 | $1,380.38 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $1,230.27 | Professional | None | $316.23 | $524.81 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $275.42 Median $3,090.30 Typical High $5,370.32 | Facility | None | $275.42 | $3,090.30 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,258.93 | Professional | None | $501.19 | $724.44 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $3,162.28 Typical High $8,317.64 | Facility | None | $524.81 | $3,162.28 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,230.27 Typical High $2,041.74 | Professional | None | $446.68 | $1,230.27 | $2,041.74 |
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 $489.78 Median $851.14 Typical High $1,122.02 | Professional | None | $489.78 | $851.14 | $1,122.02 |
Prevea360 Setting Facility Modifier None Typical Low $213.80 Median $371.54 Typical High $575.44 | Facility | None | $213.80 | $371.54 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $741.31 Typical High $1,230.27 | Professional | None | $380.19 | $741.31 | $1,230.27 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $2,884.03 | Facility | None | $724.44 | $1,819.70 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $758.58 | Professional | None | $316.23 | $457.09 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $933.25 | Professional | None | $630.96 | $630.96 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,737.80 | Professional | None | $776.25 | $1,174.90 | $1,737.80 |
The Alliance Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $933.25 | $1,288.25 | $2,041.74 |
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 $295.12 Median $812.83 Typical High $1,621.81 | Professional | None | $295.12 | $812.83 | $1,621.81 |
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 $131.83 Median $131.83 Typical High $190.55 | Facility | 52 · Reduced service | $131.83 | $131.83 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $75.86 | Facility | 53 · Discontinued | $53.70 | $53.70 | $75.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $288.40 | Facility | 54 · Surgery only | $199.53 | $199.53 | $288.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $57.54 | Facility | 55 · Aftercare only | $39.81 | $39.81 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $38.02 | Facility | 56 · Pre-op care only | $26.92 | $26.92 | $38.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $186.21 Typical High $269.15 | Facility | 78 · Unplanned return to OR | $186.21 | $186.21 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $190.55 Typical High $1,148.15 | Professional | 52 · Reduced service | $131.83 | $190.55 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $75.86 Typical High $457.09 | Professional | 53 · Discontinued | $53.70 | $75.86 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $288.40 Typical High $1,698.24 | Professional | 54 · Surgery only | $199.53 | $288.40 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $57.54 Typical High $346.74 | Professional | 55 · Aftercare only | $39.81 | $57.54 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.02 Typical High $229.09 | Professional | 56 · Pre-op care only | $26.92 | $38.02 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $269.15 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $186.21 | $269.15 | $1,584.89 |
Where Wisconsin sits
The same service costs 4.6 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
$1,023
AK $1,259UT $275
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.