How much rates vary
Facilitymedian $3,631 · 10th to 90th $912 to $7,943Professionalmedian $1,380 · 10th to 90th $513 to $2,692
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 $512.86 Median $3,090.30 Typical High $14,454.40 | Facility | None | $512.86 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $3,311.31 | Professional | None | $512.86 | $512.86 | $3,311.31 |
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 $562.34 Median $1,548.82 Typical High $2,818.38 | Professional | None | $562.34 | $1,548.82 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $4,365.16 | Facility | None | $1,000.00 | $1,995.26 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,584.89 | Professional | None | $616.60 | $954.99 | $1,584.89 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $3,162.28 Typical High $5,888.44 | Facility | None | $524.81 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,380.38 | Professional | None | $812.83 | $1,202.26 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $3,388.44 Typical High $8,709.64 | Facility | None | $724.44 | $3,388.44 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $1,288.25 Typical High $2,187.76 | Professional | None | $501.19 | $1,288.25 | $2,187.76 |
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 $660.69 Median $1,148.15 Typical High $1,348.96 | Professional | None | $660.69 | $1,148.15 | $1,348.96 |
Prevea360 Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $870.96 | Facility | None | $501.19 | $549.54 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $1,047.13 Typical High $1,949.84 | Professional | None | $457.09 | $1,047.13 | $1,949.84 |
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 $676.08 Median $676.08 Typical High $1,288.25 | Professional | None | $676.08 | $676.08 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Security Health Setting Professional Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $2,570.40 | Professional | None | $1,148.15 | $2,290.87 | $2,570.40 |
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 $407.38 Median $1,148.15 Typical High $1,949.84 | Professional | None | $407.38 | $1,148.15 | $1,949.84 |
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 $257.04 Median $257.04 Typical High $1,659.59 | Professional | 52 · Reduced service | $257.04 | $257.04 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $660.69 | Professional | 53 · Discontinued | $102.33 | $102.33 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $2,511.89 | Professional | 54 · Surgery only | $389.05 | $389.05 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $501.19 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $331.13 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $2,344.23 |
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
$1,698
OK $2,754UT $309
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.