How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,479 to $12,303Professionalmedian $3,090 · 10th to 90th $1,047 to $8,128
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 $1,479.11 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,479.11 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $11,220.18 | Professional | None | $1,479.11 | $1,479.11 | $11,220.18 |
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 $1,071.52 Median $3,715.35 Typical High $7,943.28 | Professional | None | $1,071.52 | $3,715.35 | $7,943.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $5,623.41 Typical High $12,022.64 | Professional | 50 · Both sides | $1,621.81 | $5,623.41 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,754.23 Typical High $3,801.89 | Facility | None | $954.99 | $2,754.23 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $2,137.96 Typical High $3,981.07 | Professional | None | $794.33 | $2,137.96 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $1,202.26 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,202.26 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,235.94 | Professional | None | $1,905.46 | $2,691.53 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $6,606.93 Typical High $13,182.57 | Facility | None | $1,202.26 | $6,606.93 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $3,388.44 Typical High $8,128.31 | Professional | None | $1,096.48 | $3,388.44 | $8,128.31 |
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 $2,290.87 Median $2,290.87 Typical High $3,981.07 | Professional | None | $2,290.87 | $2,290.87 | $3,981.07 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,089.30 | Facility | None | $812.83 | $1,258.93 | $2,089.30 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $3,467.37 | Professional | None | $1,023.29 | $2,137.96 | $3,467.37 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $2,290.87 Typical High $3,467.37 | Facility | None | $758.58 | $2,290.87 | $3,467.37 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $2,137.96 Typical High $2,290.87 | Professional | None | $794.33 | $2,137.96 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $7,079.46 Typical High $10,471.29 | Professional | None | $4,073.80 | $7,079.46 | $10,471.29 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,244.36 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,244.36 | $13,489.63 |
United Setting Professional Modifier None Typical Low $954.99 Median $2,238.72 Typical High $4,897.79 | Professional | None | $954.99 | $2,238.72 | $4,897.79 |
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 $741.31 Median $741.31 Typical High $5,623.41 | Professional | 52 · Reduced service | $741.31 | $741.31 | $5,623.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $2,238.72 | Professional | 53 · Discontinued | $295.12 | $295.12 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $8,317.64 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $8,317.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $1,698.24 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $1,698.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $1,122.02 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $7,762.47 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $7,762.47 |
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
$3,467
AK $4,365UT $575
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.