How much rates vary
Facilitymedian $8,710 · 10th to 90th $813 to $21,380Professionalmedian $2,818 · 10th to 90th $1,023 to $6,166
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 $1,023.29 Median $1,023.29 Typical High $14,454.40 | Facility | None | $1,023.29 | $1,023.29 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $10,232.93 | Professional | None | $1,023.29 | $1,023.29 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $17,782.79 Typical High $26,302.68 | Facility | None | $12,022.64 | $17,782.79 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $3,162.28 Typical High $6,309.57 | Professional | None | $891.25 | $3,162.28 | $6,309.57 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $501.19 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $141.25 | $501.19 | $1,023.29 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $446.68 Typical High $891.25 | Professional | AS · PA/NP assist | $123.03 | $446.68 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,949.84 Typical High $3,311.31 | Facility | None | $812.83 | $1,949.84 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,398.83 Typical High $4,265.80 | Professional | None | $1,318.26 | $2,398.83 | $4,265.80 |
DeanCare Setting Facility Modifier None Typical Low $891.25 Median $7,943.28 Typical High $14,791.08 | Facility | None | $891.25 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,621.81 | $1,995.26 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $2,818.38 Typical High $4,570.88 | Professional | None | $1,071.52 | $2,818.38 | $4,570.88 |
Network Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,089.30 | Facility | None | $1,148.15 | $1,659.59 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,122.02 | $1,905.46 | $2,630.27 |
Prevea360 Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $1,737.80 | Facility | None | $691.83 | $891.25 | $1,737.80 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,949.84 Typical High $3,548.13 | Professional | None | $831.76 | $1,949.84 | $3,548.13 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $3,630.78 | Facility | None | $758.58 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Security Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $5,011.87 Typical High $5,623.41 | Professional | None | $3,715.35 | $5,011.87 | $5,623.41 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $933.25 Median $2,818.38 Typical High $4,365.16 | Professional | None | $933.25 | $2,818.38 | $4,365.16 |
1 more rate 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 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $7,762.47 | Professional | 54 · Surgery only | $758.58 | $758.58 | $7,762.47 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska than in New York. 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
$3,236
AK $3,236NY $871
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.