How much rates vary
Facilitymedian $1,413 · 10th to 90th $324 to $3,802Professionalmedian $1,148 · 10th to 90th $427 to $2,630
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 $269.15 Median $549.54 Typical High $14,454.40 | Facility | None | $269.15 | $549.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $549.54 Typical High $2,754.23 | Professional | None | $269.15 | $549.54 | $2,754.23 |
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 $602.56 Median $1,318.26 Typical High $2,630.27 | Professional | None | $602.56 | $1,318.26 | $2,630.27 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $794.33 | Professional | None | $588.84 | $630.96 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,995.26 | Facility | None | $645.65 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $724.44 Typical High $1,949.84 | Professional | None | $363.08 | $724.44 | $1,949.84 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $2,630.27 Typical High $5,128.61 | Facility | None | $371.54 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $1,698.24 | Professional | None | $549.54 | $1,122.02 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $954.99 Typical High $1,778.28 | Facility | None | $204.17 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,949.84 Typical High $2,754.23 | Professional | None | $660.69 | $1,949.84 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,737.80 | Professional | None | $724.44 | $977.24 | $1,737.80 |
Prevea360 Setting Facility Modifier None Typical Low $288.40 Median $588.84 Typical High $1,202.26 | Facility | None | $288.40 | $588.84 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $1,230.27 Typical High $2,089.30 | Professional | None | $549.54 | $1,230.27 | $2,089.30 |
Quartz Setting Facility Modifier None Typical Low $588.84 Median $794.33 Typical High $1,230.27 | Facility | None | $588.84 | $794.33 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $1,071.52 | Professional | None | $363.08 | $630.96 | $1,071.52 |
Security Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,174.90 | Professional | None | $588.84 | $588.84 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $3,090.30 | Professional | None | $776.25 | $1,548.82 | $3,090.30 |
The Alliance Setting Professional Modifier None Typical Low $537.03 Median $1,288.25 Typical High $3,235.94 | Professional | None | $537.03 | $1,288.25 | $3,235.94 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $380.19 Median $1,047.13 Typical High $2,398.83 | Professional | None | $380.19 | $1,047.13 | $2,398.83 |
3 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 Facility Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $407.38 | Facility | 54 · Surgery only | $204.17 | $204.17 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $407.38 Typical High $2,884.03 | Professional | 54 · Surgery only | $204.17 | $407.38 | $2,884.03 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $562.34 Typical High $851.14 | Professional | 51 · Multiple procedures | $275.42 | $562.34 | $851.14 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in Maryland. 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
$1,202
AK $1,288MD $417
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.