How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,318 to $15,488Professionalmedian $2,042 · 10th to 90th $229 to $10,000
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 $199.53 Median $2,041.74 Typical High $14,454.40 | Facility | None | $199.53 | $2,041.74 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $2,041.74 Typical High $13,803.84 | Professional | None | $199.53 | $2,041.74 | $13,803.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $12,302.69 Typical High $19,952.62 | Facility | None | $8,317.64 | $12,302.69 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $1,737.80 Typical High $10,964.78 | Professional | None | $354.81 | $1,737.80 | $10,964.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $2,570.40 Typical High $16,218.10 | Professional | 50 · Both sides | $537.03 | $2,570.40 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $5,011.87 Typical High $8,128.31 | Facility | None | $2,187.76 | $5,011.87 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,778.28 Typical High $5,888.44 | Professional | None | $213.80 | $1,778.28 | $5,888.44 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $4,365.16 Typical High $7,762.47 | Facility | None | $190.55 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $6,456.54 | Professional | None | $331.13 | $512.86 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $4,265.80 Typical High $12,302.69 | Facility | None | $912.01 | $4,265.80 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $6,025.60 Typical High $11,481.54 | Professional | None | $2,089.30 | $6,025.60 | $11,481.54 |
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 $389.05 Median $2,630.27 Typical High $5,754.40 | Professional | None | $389.05 | $2,630.27 | $5,754.40 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $3,311.31 | Facility | None | $169.82 | $316.23 | $3,311.31 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $1,737.80 Typical High $7,244.36 | Professional | None | $295.12 | $1,737.80 | $7,244.36 |
Quartz Setting Facility Modifier None Typical Low $1,479.11 Median $5,623.41 Typical High $8,511.38 | Facility | None | $1,479.11 | $5,623.41 | $8,511.38 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $512.86 Typical High $3,162.28 | Professional | None | $213.80 | $512.86 | $3,162.28 |
Security Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $4,265.80 | Professional | None | $380.19 | $380.19 | $4,265.80 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $10,471.29 | Professional | None | $660.69 | $933.25 | $10,471.29 |
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 $218.78 Median $1,513.56 Typical High $8,128.31 | Professional | None | $218.78 | $1,513.56 | $8,128.31 |
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 Facility Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $1,513.56 | Facility | 54 · Surgery only | $151.36 | $151.36 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $1,513.56 Typical High $10,471.29 | Professional | 54 · Surgery only | $151.36 | $1,513.56 | $10,471.29 |
Where Wisconsin sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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
$2,754
AK $3,020NE $302
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.