How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,288 to $4,571Professionalmedian $1,950 · 10th to 90th $933 to $3,162
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $5,623.41 | Professional | None | $1,513.56 | $1,513.56 | $5,623.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $3,467.37 | Facility | None | $2,137.96 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,148.15 | $2,137.96 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $4,265.80 Typical High $8,912.51 | Facility | None | $1,288.25 | $4,265.80 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,548.82 Typical High $3,981.07 | Professional | None | $933.25 | $1,548.82 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,398.83 | Facility | None | $602.56 | $2,089.30 | $2,398.83 |
DeanCare Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,311.31 | Professional | None | $2,290.87 | $3,162.28 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $10,000.00 | Facility | None | $1,047.13 | $2,089.30 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,691.53 | Professional | None | $933.25 | $1,288.25 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Network Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,513.56 | $1,949.84 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,398.83 | Facility | None | $602.56 | $2,089.30 | $2,398.83 |
Prevea360 Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,202.26 | $2,089.30 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,786.30 | Professional | None | $2,089.30 | $3,019.95 | $4,786.30 |
Quartz Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Facility | None | $1,288.25 | $1,288.25 | $1,380.38 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,949.84 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $3,090.30 | Facility | None | $1,258.93 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,778.28 | Professional | None | $741.31 | $1,047.13 | $1,778.28 |
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 $758.58 Median $758.58 Typical High $2,818.38 | Professional | 52 · Reduced service | $758.58 | $758.58 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $1,122.02 | Professional | 53 · Discontinued | $302.00 | $302.00 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $851.14 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $562.34 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $562.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | RR · Rental | $114.82 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $851.14 | $912.01 |
Where Wisconsin sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 8th of 51
$1,950
HI $3,020AL $933
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.