How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,698 to $5,248Professionalmedian $2,291 · 10th to 90th $1,202 to $3,715
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $8,511.38 | Professional | None | $1,737.80 | $1,737.80 | $8,511.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $4,073.80 | Facility | None | $2,454.71 | $2,818.38 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,380.38 | $2,454.71 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $5,011.87 Typical High $10,232.93 | Facility | None | $1,698.24 | $5,011.87 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $4,677.35 | Professional | None | $1,230.27 | $1,819.70 | $4,677.35 |
DeanCare Setting Facility Modifier None Typical Low $741.31 Median $2,398.83 Typical High $2,754.23 | Facility | None | $741.31 | $2,398.83 | $2,754.23 |
DeanCare Setting Professional Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,380.38 | $2,398.83 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $11,748.98 | Facility | None | $1,202.26 | $2,398.83 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $3,311.31 | Professional | None | $1,071.52 | $1,513.56 | $3,311.31 |
Network Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Network Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $4,168.69 | Professional | None | $1,737.80 | $2,238.72 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $741.31 Median $2,398.83 Typical High $2,754.23 | Facility | None | $741.31 | $2,398.83 | $2,754.23 |
Prevea360 Setting Professional Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,380.38 | $2,398.83 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $5,754.40 | Professional | None | $2,454.71 | $3,630.78 | $5,754.40 |
Quartz Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,715.35 | Facility | None | $1,513.56 | $1,513.56 | $3,715.35 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,137.96 | Professional | None | $891.25 | $1,258.93 | $2,137.96 |
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 $870.96 Median $870.96 Typical High $4,265.80 | Professional | 52 · Reduced service | $870.96 | $870.96 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $1,698.24 | Professional | 53 · Discontinued | $346.74 | $346.74 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $1,288.25 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $1,288.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $851.14 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | RR · Rental | $138.04 | $138.04 | $177.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,122.02 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 6th of 51
$2,291
HI $3,388AZ $1,230
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.