How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,230 to $13,183Professionalmedian $1,413 · 10th to 90th $537 to $2,570
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 $537.03 Median $1,905.46 Typical High $14,454.40 | Facility | None | $537.03 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $3,548.13 | Professional | None | $537.03 | $537.03 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,982.44 | Facility | None | $5,754.40 | $9,332.54 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $1,584.89 Typical High $2,884.03 | Professional | None | $616.60 | $1,584.89 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $263.03 Typical High $457.09 | Professional | 80 · Assistant surgeon | $100.00 | $263.03 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $218.78 Typical High $398.11 | Professional | AS · PA/NP assist | $87.10 | $218.78 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,019.95 Typical High $6,309.57 | Facility | None | $1,230.27 | $3,019.95 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,819.70 | Professional | None | $562.34 | $891.25 | $1,819.70 |
DeanCare Setting Facility Modifier None Typical Low $512.86 Median $3,311.31 Typical High $6,025.60 | Facility | None | $512.86 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,479.11 | Professional | None | $912.01 | $1,174.90 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $4,466.84 Typical High $12,589.25 | Facility | None | $851.14 | $4,466.84 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $1,479.11 Typical High $4,168.69 | Professional | None | $501.19 | $1,479.11 | $4,168.69 |
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 $691.83 Median $1,047.13 Typical High $1,548.82 | Professional | None | $691.83 | $1,047.13 | $1,548.82 |
Prevea360 Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $954.99 | Facility | None | $426.58 | $512.86 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $977.24 Typical High $1,995.26 | Professional | None | $426.58 | $977.24 | $1,995.26 |
Quartz Setting Facility Modifier None Typical Low $1,698.24 Median $4,168.69 Typical High $6,760.83 | Facility | None | $1,698.24 | $4,168.69 | $6,760.83 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,479.11 | Professional | None | $645.65 | $645.65 | $1,479.11 |
Security Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Security Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $2,344.23 | Professional | None | $1,380.38 | $2,089.30 | $2,344.23 |
The Alliance Setting Professional Modifier None Typical Low $812.83 Median $2,290.87 Typical High $3,090.30 | Professional | None | $812.83 | $2,290.87 | $3,090.30 |
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 $446.68 Median $1,348.96 Typical High $2,344.23 | Professional | None | $446.68 | $1,348.96 | $2,344.23 |
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 $398.11 Median $398.11 Typical High $2,691.53 | Professional | 54 · Surgery only | $398.11 | $398.11 | $2,691.53 |
Where Wisconsin sits
The same service costs 4.3 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
$1,778
AK $1,862NY $437
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.