How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,622 to $5,623Professionalmedian $2,399 · 10th to 90th $1,202 to $3,890
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $8,709.64 | Professional | None | $1,862.09 | $1,862.09 | $8,709.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $4,265.80 | Facility | None | $2,570.40 | $2,951.21 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,570.40 Typical High $3,235.94 | Professional | None | $1,479.11 | $2,570.40 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,248.07 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $4,897.79 | Professional | None | $1,202.26 | $1,737.80 | $4,897.79 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $2,511.89 Typical High $2,884.03 | Facility | None | $776.25 | $2,511.89 | $2,884.03 |
DeanCare Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,445.44 | $2,511.89 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $12,589.25 | Facility | None | $1,288.25 | $2,511.89 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $3,311.31 | Professional | None | $1,148.15 | $1,584.89 | $3,311.31 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Network Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,398.83 | $4,466.84 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $2,511.89 Typical High $2,884.03 | Facility | None | $776.25 | $2,511.89 | $2,884.03 |
Prevea360 Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $3,019.95 | Professional | None | $1,445.44 | $2,511.89 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $6,165.95 | Professional | None | $2,570.40 | $3,890.45 | $6,165.95 |
Quartz Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,621.81 | $1,621.81 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $3,981.07 | Facility | None | $1,479.11 | $1,513.56 | $3,981.07 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,238.72 | Professional | None | $954.99 | $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 $933.25 Median $933.25 Typical High $4,365.16 | Professional | 52 · Reduced service | $933.25 | $933.25 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $1,737.80 | Professional | 53 · Discontinued | $371.54 | $371.54 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $1,318.26 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $870.96 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $1,318.26 | Professional | RR · Rental | $147.91 | $147.91 | $1,318.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,318.26 |
Where Wisconsin sits
The same service costs 2.7 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· 13th of 51
$2,399
HI $3,236DE $1,202
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.