How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,318 to $10,965Professionalmedian $2,951 · 10th to 90th $1,023 to $7,943
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 $1,445.44 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,445.44 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $10,964.78 | Professional | None | $1,445.44 | $1,445.44 | $10,964.78 |
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 $1,000.00 Median $3,548.13 Typical High $7,762.47 | Professional | None | $1,000.00 | $3,548.13 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $5,370.32 Typical High $11,748.98 | Professional | 50 · Both sides | $1,584.89 | $5,370.32 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,162.28 Typical High $4,786.30 | Facility | None | $954.99 | $3,162.28 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $2,089.30 Typical High $3,890.45 | Professional | None | $776.25 | $2,089.30 | $3,890.45 |
DeanCare Setting Facility Modifier None Typical Low $1,148.15 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,148.15 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,090.30 | Professional | None | $1,862.09 | $2,630.27 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $5,623.41 Typical High $10,964.78 | Facility | None | $1,148.15 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $3,162.28 Typical High $7,943.28 | Professional | None | $1,023.29 | $3,162.28 | $7,943.28 |
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 $2,187.76 Median $2,187.76 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,187.76 | $3,890.45 |
Prevea360 Setting Facility Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,905.46 | Facility | None | $812.83 | $1,174.90 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,023.29 | $2,089.30 | $3,311.31 |
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 $776.25 Median $2,089.30 Typical High $2,290.87 | Professional | None | $776.25 | $2,089.30 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $6,760.83 Typical High $10,232.93 | Professional | None | $3,715.35 | $6,760.83 | $10,232.93 |
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 $912.01 Median $2,089.30 Typical High $4,570.88 | Professional | None | $912.01 | $2,089.30 | $4,570.88 |
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 $724.44 Median $724.44 Typical High $5,495.41 | Professional | 52 · Reduced service | $724.44 | $724.44 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $2,187.76 | Professional | 53 · Discontinued | $288.40 | $288.40 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $8,128.31 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $8,128.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $1,621.81 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $1,096.48 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $7,585.78 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $7,585.78 |
Where Wisconsin sits
The same service costs 7.2 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 $4,266UT $589
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.