How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,380 to $4,786Professionalmedian $2,042 · 10th to 90th $1,023 to $3,311
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,786.30 | Professional | None | $1,584.89 | $1,584.89 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $3,630.78 | Facility | None | $2,187.76 | $2,511.89 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,096.48 | $2,187.76 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,466.84 Typical High $9,332.54 | Facility | None | $1,380.38 | $4,466.84 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $4,168.69 | Professional | None | $1,023.29 | $1,479.11 | $4,168.69 |
DeanCare Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,454.71 | Facility | None | $575.44 | $2,137.96 | $2,454.71 |
DeanCare Setting Professional Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,230.27 | $2,137.96 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $9,332.54 | Facility | None | $1,096.48 | $2,137.96 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $2,818.38 | Professional | None | $851.14 | $1,288.25 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Network Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,041.74 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,454.71 | Facility | None | $575.44 | $2,137.96 | $2,454.71 |
Prevea360 Setting Professional Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,230.27 | $2,137.96 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,884.03 | $4,570.88 |
Quartz Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,380.38 | $1,445.44 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,884.03 | Facility | None | $1,000.00 | $1,174.90 | $2,884.03 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,862.09 | Professional | None | $724.44 | $1,071.52 | $1,862.09 |
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 $794.33 Median $794.33 Typical High $2,398.83 | Professional | 52 · Reduced service | $794.33 | $794.33 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | 53 · Discontinued | $316.23 | $316.23 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $707.95 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $478.63 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $478.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | RR · Rental | $109.65 | $109.65 | $141.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | UE · Used equipment | $812.83 | $812.83 | $870.96 |
Where Wisconsin sits
The same service costs 2.7 times more in Hawaii than in Florida. 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· 4th of 51
$2,042
HI $2,630FL $977
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.