How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,202 to $10,965Professionalmedian $2,344 · 10th to 90th $813 to $6,310
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 $1,174.90 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,174.90 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $8,128.31 | Professional | None | $1,174.90 | $1,174.90 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $2,884.03 Typical High $6,309.57 | Professional | None | $812.83 | $2,884.03 | $6,309.57 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $4,365.16 Typical High $9,332.54 | Professional | 50 · Both sides | $1,230.27 | $4,365.16 | $9,332.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $512.86 Median $1,819.70 Typical High $3,890.45 | Professional | 62 · Two surgeons | $512.86 | $1,819.70 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,691.53 Typical High $4,365.16 | Facility | None | $954.99 | $2,691.53 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,659.59 Typical High $3,162.28 | Professional | None | $616.60 | $1,659.59 | $3,162.28 |
DeanCare Setting Facility Modifier None Typical Low $933.25 Median $4,365.16 Typical High $7,762.47 | Facility | None | $933.25 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,479.11 | $2,089.30 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $5,623.41 Typical High $10,964.78 | Facility | None | $1,000.00 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $2,398.83 Typical High $6,309.57 | Professional | None | $812.83 | $2,398.83 | $6,309.57 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,621.81 | $1,621.81 | $3,162.28 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,513.56 | Facility | None | $812.83 | $933.25 | $1,513.56 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,754.23 | Professional | None | $851.14 | $1,737.80 | $2,754.23 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $2,884.03 Typical High $4,786.30 | Facility | None | $758.58 | $2,884.03 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,659.59 Typical High $1,778.28 | Professional | None | $616.60 | $1,659.59 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Security Health Setting Professional Modifier None Typical Low $2,818.38 Median $5,370.32 Typical High $8,317.64 | Professional | None | $2,818.38 | $5,370.32 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,698.24 Typical High $3,630.78 | Professional | None | $724.44 | $1,698.24 | $3,630.78 |
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 $588.84 Median $588.84 Typical High $4,073.80 | Professional | 52 · Reduced service | $588.84 | $588.84 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $1,621.81 | Professional | 53 · Discontinued | $234.42 | $234.42 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $6,165.95 | Professional | 54 · Surgery only | $870.96 | $870.96 | $6,165.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $1,230.27 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $812.83 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $5,754.40 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $5,754.40 |
Where Wisconsin sits
The same service costs 8.3 times more in Wyoming 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
$2,884
WY $4,074UT $490
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.