How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,000 to $7,943Professionalmedian $1,445 · 10th to 90th $575 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 $588.84 Median $3,090.30 Typical High $14,454.40 | Facility | None | $588.84 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $4,073.80 | Professional | None | $588.84 | $588.84 | $4,073.80 |
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 $630.96 Median $1,659.59 Typical High $3,162.28 | Professional | None | $630.96 | $1,659.59 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,187.76 Typical High $5,754.40 | Facility | None | $1,000.00 | $2,187.76 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,949.84 | Professional | None | $616.60 | $1,047.13 | $1,949.84 |
DeanCare Setting Facility Modifier None Typical Low $562.34 Median $2,818.38 Typical High $5,128.61 | Facility | None | $562.34 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,258.93 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $3,630.78 Typical High $9,549.93 | Facility | None | $741.31 | $3,630.78 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,445.44 Typical High $3,715.35 | Professional | None | $537.03 | $1,445.44 | $3,715.35 |
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 $741.31 Median $1,047.13 Typical High $1,445.44 | Professional | None | $741.31 | $1,047.13 | $1,445.44 |
Prevea360 Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,047.13 | Facility | None | $467.74 | $588.84 | $1,047.13 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $1,071.52 Typical High $2,187.76 | Professional | None | $467.74 | $1,071.52 | $2,187.76 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $3,801.89 Typical High $6,309.57 | Facility | None | $812.83 | $3,801.89 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,412.54 | Professional | None | $776.25 | $776.25 | $1,412.54 |
Security Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Security Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,202.26 | $2,454.71 | $2,818.38 |
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 $446.68 Median $1,230.27 Typical High $2,089.30 | Professional | None | $446.68 | $1,230.27 | $2,089.30 |
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 $295.12 Median $295.12 Typical High $2,041.74 | Professional | 52 · Reduced service | $295.12 | $295.12 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $812.83 | Professional | 53 · Discontinued | $117.49 | $117.49 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $3,090.30 | Professional | 54 · Surgery only | $436.52 | $436.52 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $616.60 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $407.38 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $2,884.03 |
Where Wisconsin sits
The same service costs 6.5 times more in Alaska 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· 2nd of 51
$1,738
AK $1,995TX $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.