How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,230 to $12,303Professionalmedian $3,236 · 10th to 90th $955 to $6,607
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 $891.25 Median $891.25 Typical High $14,454.40 | Facility | None | $891.25 | $891.25 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $9,772.37 | Professional | None | $891.25 | $891.25 | $9,772.37 |
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 $1,202.26 Median $3,801.89 Typical High $6,606.93 | Professional | None | $1,202.26 | $3,801.89 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,754.23 Typical High $4,073.80 | Facility | None | $1,023.29 | $2,754.23 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $4,570.88 | Professional | None | $1,584.89 | $2,187.76 | $4,570.88 |
DeanCare Setting Facility Modifier None Typical Low $1,071.52 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,071.52 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,570.40 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $6,606.93 Typical High $12,882.50 | Facility | None | $1,023.29 | $6,606.93 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $3,090.30 Typical High $7,244.36 | Professional | None | $1,096.48 | $3,090.30 | $7,244.36 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,412.54 | $2,454.71 | $4,570.88 |
Prevea360 Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $2,187.76 | Facility | None | $891.25 | $1,071.52 | $2,187.76 |
Quartz Setting Professional Modifier None Typical Low $1,148.15 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,148.15 | $2,630.27 | $4,168.69 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $2,691.53 Typical High $4,073.80 | Facility | None | $812.83 | $2,691.53 | $4,073.80 |
Quartz Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $3,715.35 | Professional | None | $1,737.80 | $1,862.09 | $3,715.35 |
Security Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Security Health Setting Professional Modifier None Typical Low $3,311.31 Median $5,623.41 Typical High $7,079.46 | Professional | None | $3,311.31 | $5,623.41 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $5,495.41 | Professional | None | $1,047.13 | $2,570.40 | $5,495.41 |
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 $446.68 Median $446.68 Typical High $4,786.30 | Professional | 52 · Reduced service | $446.68 | $446.68 | $4,786.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $1,949.84 | Professional | 53 · Discontinued | $177.83 | $177.83 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $7,244.36 | Professional | 54 · Surgery only | $676.08 | $676.08 | $7,244.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $1,445.44 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $977.24 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $6,760.83 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $6,760.83 |
Where Wisconsin sits
The same service costs 6.6 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
$3,631
AK $4,266TX $646
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.