How much rates vary
Facilitymedian $4,169 · 10th to 90th $513 to $8,318Professionalmedian $851 · 10th to 90th $282 to $2,188
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 $181.97 Median $436.52 Typical High $14,454.40 | Facility | None | $181.97 | $436.52 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $436.52 Typical High $5,495.41 | Professional | None | $181.97 | $436.52 | $5,495.41 |
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 $309.03 Median $776.25 Typical High $1,348.96 | Professional | None | $309.03 | $776.25 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $1,148.15 Typical High $2,041.74 | Professional | 50 · Both sides | $467.74 | $1,148.15 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,137.96 | Facility | None | $1,258.93 | $1,445.44 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $2,137.96 | Professional | None | $371.54 | $891.25 | $2,137.96 |
DeanCare Setting Facility Modifier None Typical Low $281.84 Median $2,754.23 Typical High $5,128.61 | Facility | None | $281.84 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $1,288.25 | Professional | None | $489.78 | $602.56 | $1,288.25 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $912.01 Typical High $1,949.84 | Professional | 50 · Both sides | $724.44 | $912.01 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $5,754.40 Typical High $8,317.64 | Facility | None | $398.11 | $5,754.40 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,698.24 Typical High $4,168.69 | Professional | None | $645.65 | $1,698.24 | $4,168.69 |
Network Health Setting Facility Modifier None Typical Low $5,248.07 Median $6,025.60 Typical High $7,762.47 | Facility | None | $5,248.07 | $6,025.60 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $181.97 Median $426.58 Typical High $1,202.26 | Professional | None | $181.97 | $426.58 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $218.78 Median $398.11 Typical High $676.08 | Facility | None | $218.78 | $398.11 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $660.69 Typical High $1,737.80 | Professional | None | $281.84 | $660.69 | $1,737.80 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $758.58 Typical High $1,047.13 | Professional | None | $371.54 | $758.58 | $1,047.13 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,698.24 | Professional | None | $676.08 | $676.08 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $3,548.13 | Professional | None | $776.25 | $1,548.82 | $3,548.13 |
United Setting Facility Modifier None Typical Low $4,786.30 Median $7,943.28 Typical High $9,120.11 | Facility | None | $4,786.30 | $7,943.28 | $9,120.11 |
United Setting Professional Modifier None Typical Low $288.40 Median $870.96 Typical High $2,344.23 | Professional | None | $288.40 | $870.96 | $2,344.23 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $302.00 Typical High $645.65 | Professional | 51 · Multiple procedures | $245.47 | $302.00 | $645.65 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $489.78 Typical High $1,047.13 | Professional | 54 · Surgery only | $389.05 | $489.78 | $1,047.13 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $257.04 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $257.04 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $512.86 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $407.38 | $512.86 | $1,096.48 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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
$933
AK $955KY $245
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.