How much rates vary
Facilitymedian $1,202 · 10th to 90th $76 to $3,802Professionalmedian $162 · 10th to 90th $56 to $417
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 $39.81 Median $75.86 Typical High $14,454.40 | Facility | None | $39.81 | $75.86 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $501.19 | Professional | None | $39.81 | $75.86 | $501.19 |
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 $69.18 Median $204.17 Typical High $467.74 | Professional | None | $69.18 | $204.17 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $117.49 Typical High $302.00 | Facility | None | $54.95 | $117.49 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $269.15 | Professional | None | $52.48 | $100.00 | $269.15 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $2,630.27 Typical High $5,128.61 | Facility | None | $44.67 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $199.53 | Professional | None | $81.28 | $128.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $812.83 Typical High $1,778.28 | Facility | None | $81.28 | $812.83 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $199.53 Typical High $549.54 | Professional | None | $75.86 | $199.53 | $549.54 |
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 $89.13 Median $138.04 Typical High $245.47 | Professional | None | $89.13 | $138.04 | $245.47 |
Prevea360 Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $125.89 | Facility | None | $38.90 | $75.86 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $257.04 | Professional | None | $74.13 | $154.88 | $257.04 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $141.25 | Facility | None | $50.12 | $85.11 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $128.82 | Professional | None | $52.48 | $100.00 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $380.19 | Professional | None | $194.98 | $194.98 | $380.19 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $549.54 | Professional | None | $208.93 | $302.00 | $549.54 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $48.98 Median $138.04 Typical High $288.40 | Professional | None | $48.98 | $138.04 | $288.40 |
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 $30.20 Median $30.20 Typical High $57.54 | Facility | 54 · Surgery only | $30.20 | $30.20 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $57.54 Typical High $380.19 | Professional | 54 · Surgery only | $30.20 | $57.54 | $380.19 |
Where Wisconsin sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 1st of 51
$200
WI $200KY $56.23
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.