How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,549 to $5,888Professionalmedian $2,512 · 10th to 90th $1,122 to $4,074
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $7,079.46 | Professional | None | $1,905.46 | $1,905.46 | $7,079.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $4,466.84 | Facility | None | $2,691.53 | $3,090.30 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,691.53 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,691.53 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $5,495.41 Typical High $11,220.18 | Facility | None | $1,548.82 | $5,495.41 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $5,128.61 | Professional | None | $1,122.02 | $1,659.59 | $5,128.61 |
DeanCare Setting Facility Modifier None Typical Low $758.58 Median $2,630.27 Typical High $3,019.95 | Facility | None | $758.58 | $2,630.27 | $3,019.95 |
DeanCare Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $3,235.94 | Professional | None | $1,513.56 | $2,630.27 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $12,302.69 | Facility | None | $1,318.26 | $2,630.27 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $3,467.37 | Professional | None | $1,174.90 | $1,621.81 | $3,467.37 |
Network Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Network Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,905.46 | $2,454.71 | $4,570.88 |
Prevea360 Setting Facility Modifier None Typical Low $758.58 Median $2,630.27 Typical High $3,019.95 | Facility | None | $758.58 | $2,630.27 | $3,019.95 |
Prevea360 Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $3,162.28 | Professional | None | $1,513.56 | $2,630.27 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $6,025.60 | Professional | None | $2,570.40 | $3,715.35 | $6,025.60 |
Quartz Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,801.89 | Facility | None | $1,584.89 | $1,659.59 | $3,801.89 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,238.72 | Professional | None | $912.01 | $1,318.26 | $2,238.72 |
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 $954.99 Median $954.99 Typical High $3,548.13 | Professional | 52 · Reduced service | $954.99 | $954.99 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $1,412.54 | Professional | 53 · Discontinued | $389.05 | $389.05 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $1,047.13 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $707.95 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $707.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | RR · Rental | $147.91 | $147.91 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,202.26 |
Where Wisconsin sits
The same service costs 3.1 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
$2,512
HI $3,467DE $1,122
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.