How much rates vary
Facilitymedian $1,445 · 10th to 90th $832 to $3,090Professionalmedian $1,349 · 10th to 90th $617 to $2,138
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $2,951.21 | Professional | None | $794.33 | $1,023.29 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,398.83 | Facility | None | $1,445.44 | $1,621.81 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $1,778.28 | Professional | None | $851.14 | $1,445.44 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,884.03 Typical High $3,548.13 | Facility | None | $831.76 | $2,884.03 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $2,691.53 | Professional | None | $616.60 | $933.25 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $1,621.81 | Facility | None | $407.38 | $1,412.54 | $1,621.81 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,995.26 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $6,606.93 | Facility | None | $707.95 | $1,412.54 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $891.25 Typical High $1,698.24 | Professional | None | $575.44 | $891.25 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Network Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,318.26 | $2,454.71 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $1,621.81 | Facility | None | $407.38 | $1,412.54 | $1,621.81 |
Prevea360 Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $1,659.59 | Professional | None | $812.83 | $1,412.54 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,380.38 | $1,995.26 | $3,162.28 |
Quartz Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $912.01 | Facility | None | $831.76 | $831.76 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,122.02 | $1,318.26 | $1,318.26 |
The Alliance Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $2,041.74 | Facility | None | $630.96 | $794.33 | $2,041.74 |
United Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,202.26 | Professional | None | $489.78 | $707.95 | $1,202.26 |
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 $512.86 Median $512.86 Typical High $1,479.11 | Professional | 52 · Reduced service | $512.86 | $512.86 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $588.84 | Professional | 53 · Discontinued | $204.17 | $204.17 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $446.68 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $295.12 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | RR · Rental | $83.18 | $83.18 | $100.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | UE · Used equipment | $616.60 | $616.60 | $676.08 |
Where Wisconsin sits
The same service costs 3.2 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· 5th of 51
$1,349
HI $1,950DE $617
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.