How much rates vary
Facilitymedian $3,020 · 10th to 90th $776 to $7,413Professionalmedian $2,042 · 10th to 90th $646 to $3,890
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 $616.60 Median $6,456.54 Typical High $14,454.40 | Facility | None | $616.60 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $6,760.83 | Professional | None | $616.60 | $616.60 | $6,760.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $9,772.37 | Facility | None | $2,818.38 | $4,786.30 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $2,344.23 Typical High $4,365.16 | Professional | None | $831.76 | $2,344.23 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $3,388.44 Typical High $6,456.54 | Professional | 50 · Both sides | $1,258.93 | $3,388.44 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,344.23 | Facility | None | $870.96 | $1,659.59 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,570.40 | Professional | None | $891.25 | $1,412.54 | $2,570.40 |
DeanCare Setting Facility Modifier None Typical Low $724.44 Median $4,365.16 Typical High $7,762.47 | Facility | None | $724.44 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,737.80 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $2,398.83 Typical High $5,128.61 | Facility | None | $660.69 | $2,398.83 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $2,041.74 Typical High $4,265.80 | Professional | None | $776.25 | $2,041.74 | $4,265.80 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $2,187.76 | Professional | None | $977.24 | $1,698.24 | $2,187.76 |
Prevea360 Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $1,318.26 | Facility | None | $616.60 | $724.44 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,513.56 Typical High $2,884.03 | Professional | None | $660.69 | $1,513.56 | $2,884.03 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,041.74 | Facility | None | $758.58 | $1,230.27 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,041.74 | Professional | None | $912.01 | $912.01 | $2,041.74 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Security Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,951.21 | $3,801.89 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,677.35 | Facility | None | $707.95 | $2,818.38 | $4,677.35 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,862.09 Typical High $3,548.13 | Professional | None | $645.65 | $1,862.09 | $3,548.13 |
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 $309.03 Median $309.03 Typical High $3,388.44 | Professional | 52 · Reduced service | $309.03 | $309.03 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $1,348.96 | Professional | 53 · Discontinued | $123.03 | $123.03 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $5,011.87 | Professional | 54 · Surgery only | $457.09 | $457.09 | $5,011.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $1,023.29 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $676.08 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $676.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $4,677.35 |
Where Wisconsin sits
The same service costs 5.9 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· 2nd of 51
$2,239
AK $2,692UT $457
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.