How much rates vary
Facilitymedian $3,467 · 10th to 90th $832 to $9,772Professionalmedian $2,399 · 10th to 90th $1,047 to $3,631
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $7,943.28 | Professional | None | $1,047.13 | $1,047.13 | $7,943.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,818.38 | $4,786.30 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $3,630.78 | Professional | None | $1,096.48 | $2,754.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $436.52 Typical High $588.84 | Professional | 80 · Assistant surgeon | $173.78 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $380.19 Typical High $512.86 | Professional | AS · PA/NP assist | $151.36 | $380.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,238.72 Typical High $3,630.78 | Facility | None | $812.83 | $2,238.72 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,819.70 | $2,951.21 |
DeanCare Setting Facility Modifier None Typical Low $1,023.29 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,023.29 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,090.30 | Professional | None | $1,548.82 | $2,290.87 | $3,090.30 |
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 $1,047.13 Median $2,089.30 Typical High $3,890.45 | Professional | None | $1,047.13 | $2,089.30 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,862.09 | Facility | None | $1,288.25 | $1,288.25 | $1,862.09 |
Network Health Setting Professional Modifier None Typical Low $1,258.93 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,258.93 | $2,187.76 | $2,570.40 |
Prevea360 Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,949.84 | Facility | None | $794.33 | $1,047.13 | $1,949.84 |
Quartz Setting Professional Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,715.35 | Professional | None | $954.99 | $1,995.26 | $3,715.35 |
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 $1,230.27 Median $1,230.27 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,230.27 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,019.95 | Professional | None | $1,778.28 | $2,630.27 | $3,019.95 |
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 $870.96 Median $2,187.76 Typical High $2,884.03 | Professional | None | $870.96 | $2,187.76 | $2,884.03 |
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 Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $3,890.45 | Professional | 52 · Reduced service | $524.81 | $524.81 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $1,584.89 | Professional | 53 · Discontinued | $208.93 | $208.93 | $1,584.89 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in Utah. 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
$2,512
AK $2,951UT $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.