How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,318 to $14,454Professionalmedian $2,089 · 10th to 90th $257 to $10,233
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 $229.09 Median $2,089.30 Typical High $14,454.40 | Facility | None | $229.09 | $2,089.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $2,089.30 Typical High $7,079.46 | Professional | None | $229.09 | $2,089.30 | $7,079.46 |
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 $398.11 Median $1,778.28 Typical High $10,964.78 | Professional | None | $398.11 | $1,778.28 | $10,964.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $2,691.53 Typical High $16,595.87 | Professional | 50 · Both sides | $602.56 | $2,691.53 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,715.35 Typical High $5,754.40 | Facility | None | $1,995.26 | $3,715.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $812.83 Typical High $6,025.60 | Professional | None | $239.88 | $812.83 | $6,025.60 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $4,365.16 Typical High $7,762.47 | Facility | None | $213.80 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $6,606.93 | Professional | None | $380.19 | $588.84 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $4,265.80 Typical High $10,964.78 | Facility | None | $912.01 | $4,265.80 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $6,606.93 Typical High $11,481.54 | Professional | None | $2,238.72 | $6,606.93 | $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 $457.09 Median $2,630.27 Typical High $5,754.40 | Professional | None | $457.09 | $2,630.27 | $5,754.40 |
Prevea360 Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $3,388.44 | Facility | None | $194.98 | $363.08 | $3,388.44 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $1,778.28 Typical High $7,244.36 | Professional | None | $331.13 | $1,778.28 | $7,244.36 |
Quartz Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $4,570.88 | Facility | None | $1,479.11 | $2,754.23 | $4,570.88 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $588.84 Typical High $3,548.13 | Professional | None | $239.88 | $588.84 | $3,548.13 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $4,365.16 | Professional | None | $426.58 | $426.58 | $4,365.16 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $10,471.29 | Professional | None | $758.58 | $1,071.52 | $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 $257.04 Median $1,584.89 Typical High $8,317.64 | Professional | None | $257.04 | $1,584.89 | $8,317.64 |
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 $169.82 Median $169.82 Typical High $1,548.82 | Facility | 54 · Surgery only | $169.82 | $169.82 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $1,548.82 Typical High $5,370.32 | Professional | 54 · Surgery only | $169.82 | $1,548.82 | $5,370.32 |
Where Wisconsin sits
The same service costs 10.5 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· 4th of 51
$2,754
AK $3,715NE $355
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.