How much rates vary
Facilitymedian $16,218 · 10th to 90th $2,344 to $23,988Professionalmedian $3,981 · 10th to 90th $1,514 to $10,715
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 $2,344.23 Median $2,344.23 Typical High $14,454.40 | Facility | None | $2,344.23 | $2,344.23 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $17,782.79 | Professional | None | $1,621.81 | $2,344.23 | $17,782.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $18,620.87 Typical High $25,703.96 | Facility | None | $13,182.57 | $18,620.87 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $4,677.35 Typical High $10,964.78 | Professional | None | $1,380.38 | $4,677.35 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,715.35 Typical High $18,620.87 | Facility | None | $3,162.28 | $3,715.35 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $5,128.61 | Professional | None | $1,819.70 | $3,548.13 | $5,128.61 |
DeanCare Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,754.23 | Facility | None | $1,122.02 | $1,445.44 | $2,754.23 |
DeanCare Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $4,073.80 | Professional | None | $2,238.72 | $3,019.95 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $9,772.37 Typical High $23,442.29 | Facility | None | $1,479.11 | $9,772.37 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $3,801.89 Typical High $8,317.64 | Professional | None | $1,548.82 | $3,801.89 | $8,317.64 |
Network Health Setting Facility Modifier None Typical Low $4,677.35 Median $14,454.40 Typical High $40,738.03 | Facility | None | $4,677.35 | $14,454.40 | $40,738.03 |
Network Health Setting Professional Modifier None Typical Low $1,778.28 Median $3,090.30 Typical High $3,715.35 | Professional | None | $1,778.28 | $3,090.30 | $3,715.35 |
Prevea360 Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,754.23 | Facility | None | $1,122.02 | $1,445.44 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $5,248.07 | Professional | None | $2,238.72 | $2,884.03 | $5,248.07 |
Quartz Setting Facility Modifier None Typical Low $29,512.09 Median $29,512.09 Typical High $29,512.09 | Facility | None | $29,512.09 | $29,512.09 | $29,512.09 |
Quartz Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,819.70 | $1,819.70 | $3,715.35 |
Security Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Security Health Setting Professional Modifier None Typical Low $6,025.60 Median $7,943.28 Typical High $9,120.11 | Professional | None | $6,025.60 | $7,943.28 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $14,125.38 Typical High $22,908.68 | Facility | None | $1,737.80 | $14,125.38 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $4,073.80 Typical High $8,511.38 | Professional | None | $1,513.56 | $4,073.80 | $8,511.38 |
5 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 $1,148.15 Median $1,148.15 Typical High $8,709.64 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $8,709.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $3,548.13 | Professional | 53 · Discontinued | $467.74 | $467.74 | $3,548.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $13,182.57 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $13,182.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $2,630.27 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $2,630.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $1,778.28 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $1,778.28 |
Where Wisconsin sits
The same service costs 11.3 times more in South Carolina than in Michigan. 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.
Physician feeFacility fee
SC $33,944MI $2,997
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.