How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,202 to $12,303Professionalmedian $2,512 · 10th to 90th $851 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 $1,202.26 Median $8,317.64 Typical High $14,454.40 | Facility | None | $1,202.26 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $9,332.54 | Professional | None | $1,202.26 | $1,202.26 | $9,332.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,982.44 | Facility | None | $5,754.40 | $9,332.54 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $3,090.30 Typical High $6,456.54 | Professional | None | $891.25 | $3,090.30 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $4,677.35 Typical High $9,772.37 | Professional | 50 · Both sides | $1,348.96 | $4,677.35 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $3,235.94 Typical High $5,495.41 | Facility | None | $1,202.26 | $3,235.94 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,737.80 Typical High $3,235.94 | Professional | None | $645.65 | $1,737.80 | $3,235.94 |
DeanCare Setting Facility Modifier None Typical Low $954.99 Median $5,128.61 Typical High $9,332.54 | Facility | None | $954.99 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,548.82 | $2,187.76 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $3,630.78 Typical High $9,549.93 | Facility | None | $954.99 | $3,630.78 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $2,754.23 Typical High $6,606.93 | Professional | None | $891.25 | $2,754.23 | $6,606.93 |
Network Health Setting Facility Modifier None Typical Low $1,778.28 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,778.28 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,905.46 | $1,905.46 | $3,235.94 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $954.99 Typical High $1,698.24 | Facility | None | $933.25 | $954.99 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,884.03 | Professional | None | $851.14 | $1,737.80 | $2,884.03 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $3,715.35 Typical High $6,025.60 | Facility | None | $933.25 | $3,715.35 | $6,025.60 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,737.80 Typical High $1,905.46 | Professional | None | $645.65 | $1,737.80 | $1,905.46 |
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 $3,388.44 Median $5,623.41 Typical High $8,511.38 | Professional | None | $3,388.44 | $5,623.41 | $8,511.38 |
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 $794.33 Median $1,819.70 Typical High $3,981.07 | Professional | None | $794.33 | $1,819.70 | $3,981.07 |
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 $602.56 Median $602.56 Typical High $4,677.35 | Professional | 52 · Reduced service | $602.56 | $602.56 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $1,862.09 | Professional | 53 · Discontinued | $239.88 | $239.88 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $6,918.31 | Professional | 54 · Surgery only | $912.01 | $912.01 | $6,918.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $1,412.54 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $1,412.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $933.25 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $6,456.54 |
Where Wisconsin sits
The same service costs 7.6 times more in Alaska 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
$3,090
AK $3,548UT $468
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.