How much rates vary
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $1,148.15 | Professional | None | $97.72 | $97.72 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $204.17 Typical High $457.09 | Professional | None | $58.88 | $204.17 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $223.87 | Facility | None | $131.83 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $208.93 | Professional | None | $75.86 | $147.91 | $208.93 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $128.82 | Facility | None | $46.77 | $60.26 | $128.82 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $186.21 | Professional | None | $93.33 | $125.89 | $186.21 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $954.99 Typical High $1,778.28 | Facility | None | $144.54 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $173.78 Typical High $380.19 | Professional | None | $72.44 | $173.78 | $380.19 |
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 $75.86 Median $128.82 Typical High $173.78 | Professional | None | $75.86 | $128.82 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $128.82 | Facility | None | $46.77 | $60.26 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $218.78 | Professional | None | $69.18 | $120.23 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $154.88 | Professional | None | $75.86 | $75.86 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $501.19 | Professional | None | $245.47 | $346.74 | $501.19 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $64.57 Median $186.21 Typical High $389.05 | Professional | None | $64.57 | $186.21 | $389.05 |
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 $72.44 Median $72.44 Typical High $851.14 | Professional | 54 · Surgery only | $72.44 | $72.44 | $851.14 |
Where Wisconsin sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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
$204
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.