How much rates vary
Facilitymedian $1,202 · 10th to 90th $257 to $3,802Professionalmedian $525 · 10th to 90th $209 to $1,148
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 $177.83 Median $269.15 Typical High $14,454.40 | Facility | None | $177.83 | $269.15 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $1,380.38 | Professional | None | $169.82 | $251.19 | $1,380.38 |
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 $245.47 Median $660.69 Typical High $1,258.93 | Professional | None | $245.47 | $660.69 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $1,071.52 | Facility | None | $281.84 | $616.60 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $794.33 | Professional | None | $223.87 | $354.81 | $794.33 |
DeanCare Setting Facility Modifier None Typical Low $181.97 Median $2,630.27 Typical High $5,128.61 | Facility | None | $181.97 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $645.65 | Professional | None | $338.84 | $478.63 | $645.65 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $912.01 Typical High $1,778.28 | Facility | None | $177.83 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $707.95 Typical High $1,737.80 | Professional | None | $229.09 | $707.95 | $1,737.80 |
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 $323.59 Median $426.58 Typical High $676.08 | Professional | None | $323.59 | $426.58 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $407.38 | Facility | None | $165.96 | $251.19 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $776.25 | Professional | None | $245.47 | $489.78 | $776.25 |
Quartz Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $1,096.48 | Facility | None | $275.42 | $416.87 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $467.74 | Professional | None | $234.42 | $354.81 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $575.44 | Professional | None | $371.54 | $371.54 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,258.93 | Professional | None | $467.74 | $831.76 | $1,258.93 |
The Alliance Setting Professional Modifier None Typical Low $269.15 Median $812.83 Typical High $1,148.15 | Professional | None | $269.15 | $812.83 | $1,148.15 |
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 $181.97 Median $489.78 Typical High $933.25 | Professional | None | $181.97 | $489.78 | $933.25 |
7 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 $131.83 Median $131.83 Typical High $199.53 | Facility | 54 · Surgery only | $131.83 | $131.83 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $199.53 Typical High $1,047.13 | Professional | 54 · Surgery only | $131.83 | $199.53 | $1,047.13 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $239.88 Typical High $323.59 | Professional | 51 · Multiple procedures | $169.82 | $239.88 | $323.59 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $75.86 Typical High $102.33 | Professional | 80 · Assistant surgeon | $53.70 | $75.86 | $102.33 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $75.86 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $53.70 | $75.86 | $102.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $75.86 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $75.86 | $102.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $67.61 Typical High $91.20 | Professional | AS · PA/NP assist | $46.77 | $67.61 | $91.20 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska 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· 2nd of 51
$603
AK $617KY $148
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.