How much rates vary
Facilitymedian $2,239 · 10th to 90th $550 to $5,012Professionalmedian $3,162 · 10th to 90th $1,148 to $8,511
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 $1,584.89 Median $3,090.30 Typical High $14,454.40 | Facility | None | $1,584.89 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $10,471.29 | Professional | None | $1,230.27 | $1,584.89 | $10,471.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $4,365.16 Typical High $8,511.38 | Professional | None | $1,174.90 | $4,365.16 | $8,511.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $6,606.93 Typical High $12,882.50 | Professional | 50 · Both sides | $1,778.28 | $6,606.93 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $758.58 Typical High $3,548.13 | Facility | None | $54.95 | $758.58 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $2,238.72 Typical High $5,754.40 | Professional | None | $851.14 | $2,238.72 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,348.96 Median $5,623.41 Typical High $10,471.29 | Facility | None | $1,348.96 | $5,623.41 | $10,471.29 |
DeanCare Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $3,388.44 | Professional | None | $1,995.26 | $2,884.03 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,737.80 Typical High $4,466.84 | Facility | None | $446.68 | $1,737.80 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $3,162.28 Typical High $8,511.38 | Professional | None | $1,148.15 | $3,162.28 | $8,511.38 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,265.80 | Professional | None | $2,454.71 | $2,454.71 | $4,265.80 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,344.23 | Facility | None | $1,047.13 | $1,348.96 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $5,011.87 | Professional | None | $1,071.52 | $2,238.72 | $5,011.87 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $562.34 Typical High $912.01 | Facility | None | $50.12 | $562.34 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $2,238.72 Typical High $2,398.83 | Professional | None | $851.14 | $2,238.72 | $2,398.83 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Security Health Setting Professional Modifier None Typical Low $4,466.84 Median $7,413.10 Typical High $11,220.18 | Professional | None | $4,466.84 | $7,413.10 | $11,220.18 |
The Alliance Setting Professional Modifier None Typical Low $1,258.93 Median $3,162.28 Typical High $7,585.78 | Professional | None | $1,258.93 | $3,162.28 | $7,585.78 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,041.74 Typical High $3,548.13 | Facility | None | $512.86 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $2,398.83 Typical High $5,370.32 | Professional | None | $1,023.29 | $2,398.83 | $5,370.32 |
2 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 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $7,762.47 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $7,762.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $7,244.36 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $7,244.36 |
Where Wisconsin sits
The same service costs 6.3 times more in Wyoming 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· 3rd of 51
$2,692
WY $3,388TX $537
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.