How much rates vary
Facilitymedian $2,570 · 10th to 90th $447 to $5,623Professionalmedian $741 · 10th to 90th $117 to $3,981
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 $83.18 Median $660.69 Typical High $14,454.40 | Facility | None | $83.18 | $660.69 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $660.69 Typical High $5,248.07 | Professional | None | $83.18 | $660.69 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,202.26 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $741.31 Typical High $4,168.69 | Professional | None | $162.18 | $741.31 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $2,238.72 Typical High $3,981.07 | Facility | None | $66.07 | $2,238.72 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $630.96 Typical High $2,344.23 | Professional | None | $109.65 | $630.96 | $2,344.23 |
DeanCare Setting Facility Modifier None Typical Low $93.33 Median $3,162.28 Typical High $5,888.44 | Facility | None | $93.33 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $2,570.40 | Professional | None | $173.78 | $275.42 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,479.11 Typical High $4,466.84 | Facility | None | $398.11 | $1,479.11 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $2,398.83 Typical High $4,786.30 | Professional | None | $794.33 | $2,398.83 | $4,786.30 |
Network Health Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $181.97 Median $1,023.29 Typical High $2,238.72 | Professional | None | $181.97 | $1,023.29 | $2,238.72 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $169.82 Typical High $1,318.26 | Facility | None | $81.28 | $169.82 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $724.44 Typical High $2,818.38 | Professional | None | $158.49 | $724.44 | $2,818.38 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $2,691.53 Typical High $4,365.16 | Facility | None | $50.12 | $2,691.53 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $269.15 Typical High $1,258.93 | Professional | None | $109.65 | $269.15 | $1,258.93 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $3,548.13 | Professional | None | $416.87 | $416.87 | $3,548.13 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $3,467.37 Typical High $5,495.41 | Professional | None | $436.52 | $3,467.37 | $5,495.41 |
United Setting Facility Modifier None Typical Low $512.86 Median $2,238.72 Typical High $3,630.78 | Facility | None | $512.86 | $2,238.72 | $3,630.78 |
United Setting Professional Modifier None Typical Low $107.15 Median $630.96 Typical High $3,162.28 | Professional | None | $107.15 | $630.96 | $3,162.28 |
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 $63.10 Median $63.10 Typical High $489.78 | Facility | 54 · Surgery only | $63.10 | $63.10 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $489.78 Typical High $3,890.45 | Professional | 54 · Surgery only | $63.10 | $489.78 | $3,890.45 |
Where Wisconsin sits
The same service costs 7.8 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
$1,047
AK $1,230NE $158
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.