How much rates vary
Facilitymedian $1,738 · 10th to 90th $933 to $3,981Professionalmedian $1,585 · 10th to 90th $692 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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $4,466.84 | Professional | None | $1,230.27 | $1,230.27 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,818.38 | Facility | None | $1,737.80 | $1,949.84 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $2,137.96 | Professional | None | $912.01 | $1,737.80 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $3,467.37 Typical High $7,244.36 | Facility | None | $933.25 | $3,467.37 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $3,235.94 | Professional | None | $691.83 | $1,000.00 | $3,235.94 |
DeanCare Setting Facility Modifier None Typical Low $489.78 Median $1,698.24 Typical High $1,949.84 | Facility | None | $489.78 | $1,698.24 | $1,949.84 |
DeanCare Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $2,041.74 | Professional | None | $954.99 | $1,659.59 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $7,943.28 | Facility | None | $851.14 | $1,698.24 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $2,187.76 | Professional | None | $741.31 | $1,071.52 | $2,187.76 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Network Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,951.21 | Professional | None | $1,230.27 | $1,584.89 | $2,951.21 |
Prevea360 Setting Facility Modifier None Typical Low $489.78 Median $1,698.24 Typical High $1,949.84 | Facility | None | $489.78 | $1,698.24 | $1,949.84 |
Prevea360 Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $1,698.24 | Professional | None | $954.99 | $1,659.59 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,398.83 | $3,801.89 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,445.44 | Professional | None | $588.84 | $831.76 | $1,445.44 |
6 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 $616.60 Median $616.60 Typical High $2,238.72 | Professional | 52 · Reduced service | $616.60 | $616.60 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $891.25 | Professional | 53 · Discontinued | $245.47 | $245.47 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $660.69 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $446.68 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $257.04 | Professional | RR · Rental | $91.20 | $91.20 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | UE · Used equipment | $691.83 | $691.83 | $741.31 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 9th of 51
$1,585
HI $1,778DE $692
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.