How much rates vary
Facilitymedian $3,020 · 10th to 90th $759 to $6,026Professionalmedian $1,148 · 10th to 90th $427 to $2,089
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 $426.58 Median $3,090.30 Typical High $14,454.40 | Facility | None | $426.58 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $3,019.95 | Professional | None | $416.87 | $426.58 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $1,288.25 Typical High $2,344.23 | Professional | None | $467.74 | $1,288.25 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $295.12 Median $794.33 Typical High $1,479.11 | Professional | 62 · Two surgeons | $295.12 | $794.33 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $4,365.16 | Facility | None | $954.99 | $1,659.59 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,348.96 | Professional | None | $446.68 | $707.95 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $416.87 Median $3,311.31 Typical High $6,025.60 | Facility | None | $416.87 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,230.27 | Professional | None | $676.08 | $1,000.00 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $6,309.57 | Facility | None | $602.56 | $2,398.83 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,023.29 Typical High $1,949.84 | Professional | None | $436.52 | $1,023.29 | $1,949.84 |
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 $549.54 Median $954.99 Typical High $1,230.27 | Professional | None | $549.54 | $954.99 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $758.58 | Facility | None | $346.74 | $416.87 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $512.86 Typical High $1,621.81 | Professional | None | $223.87 | $512.86 | $1,621.81 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $2,884.03 Typical High $4,786.30 | Facility | None | $812.83 | $2,884.03 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,202.26 | Professional | None | $512.86 | $512.86 | $1,202.26 |
Security Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,698.24 | $1,905.46 |
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 $380.19 Median $1,096.48 Typical High $1,905.46 | Professional | None | $380.19 | $1,096.48 | $1,905.46 |
2 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 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $2,290.87 | Professional | 54 · Surgery only | $323.59 | $323.59 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $2,137.96 |
Where Wisconsin sits
The same service costs 5.7 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $5,229MT $917
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.