How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,698 to $15,849Professionalmedian $3,715 · 10th to 90th $692 to $15,488
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 $549.54 Median $3,801.89 Typical High $14,454.40 | Facility | None | $549.54 | $3,801.89 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $3,801.89 Typical High $12,302.69 | Professional | None | $549.54 | $3,801.89 | $12,302.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $18,620.87 | Facility | None | $9,120.11 | $12,302.69 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $3,467.37 Typical High $16,595.87 | Professional | None | $870.96 | $3,467.37 | $16,595.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $5,248.07 Typical High $24,547.09 | Professional | 50 · Both sides | $1,318.26 | $5,248.07 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $6,760.83 Typical High $9,332.54 | Facility | None | $2,187.76 | $6,760.83 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $3,467.37 Typical High $10,964.78 | Professional | None | $741.31 | $3,467.37 | $10,964.78 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $7,413.10 Typical High $14,454.40 | Facility | None | $524.81 | $7,413.10 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $912.01 Median $1,479.11 Typical High $11,748.98 | Professional | None | $912.01 | $1,479.11 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $7,244.36 Typical High $15,135.61 | Facility | None | $912.01 | $7,244.36 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $11,220.18 Typical High $20,417.38 | Professional | None | $3,388.44 | $11,220.18 | $20,417.38 |
Network Health Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,011.87 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $660.69 Median $4,897.79 Typical High $10,471.29 | Professional | None | $660.69 | $4,897.79 | $10,471.29 |
Prevea360 Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $6,165.95 | Facility | None | $467.74 | $912.01 | $6,165.95 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $3,235.94 Typical High $13,182.57 | Professional | None | $831.76 | $3,235.94 | $13,182.57 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $5,495.41 Typical High $8,317.64 | Facility | None | $1,995.26 | $5,495.41 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,888.44 | Professional | None | $741.31 | $1,479.11 | $5,888.44 |
Security Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $8,128.31 | Professional | None | $1,047.13 | $1,047.13 | $8,128.31 |
Security Health Setting Professional Modifier None Typical Low $1,412.54 Median $4,073.80 Typical High $19,054.61 | Professional | None | $1,412.54 | $4,073.80 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
United Setting Professional Modifier None Typical Low $489.78 Median $2,818.38 Typical High $15,135.61 | Professional | None | $489.78 | $2,818.38 | $15,135.61 |
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 $407.38 Median $407.38 Typical High $2,884.03 | Facility | 54 · Surgery only | $407.38 | $407.38 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $2,884.03 Typical High $9,332.54 | Professional | 54 · Surgery only | $407.38 | $2,884.03 | $9,332.54 |
Where Wisconsin sits
The same service costs 3.2 times more in Wisconsin 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.
Physician feeFacility fee
WI $12,835MD $4,070
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.