How much rates vary
Facilitymedian $1,349 · 10th to 90th $832 to $2,951Professionalmedian $1,259 · 10th to 90th $603 to $2,042
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $4,168.69 | Professional | None | $977.24 | $977.24 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $2,238.72 | Facility | None | $1,348.96 | $1,548.82 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,659.59 | Professional | None | $794.33 | $1,348.96 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,754.23 Typical High $5,623.41 | Facility | None | $831.76 | $2,754.23 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $2,570.40 | Professional | None | $602.56 | $912.01 | $2,570.40 |
DeanCare Setting Facility Modifier None Typical Low $426.58 Median $1,318.26 Typical High $1,513.56 | Facility | None | $426.58 | $1,318.26 | $1,513.56 |
DeanCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,778.28 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,318.26 Typical High $7,079.46 | Facility | None | $676.08 | $1,318.26 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,737.80 | Professional | None | $602.56 | $831.76 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Network Health Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,344.23 | Professional | None | $954.99 | $1,258.93 | $2,344.23 |
Prevea360 Setting Facility Modifier None Typical Low $426.58 Median $1,318.26 Typical High $1,513.56 | Facility | None | $426.58 | $1,318.26 | $1,513.56 |
Prevea360 Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $1,737.80 | Professional | None | $758.58 | $1,318.26 | $1,737.80 |
Quartz Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,348.96 | $2,041.74 | $3,311.31 |
Quartz Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $891.25 | Facility | None | $831.76 | $831.76 | $891.25 |
Quartz Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,137.96 | Facility | None | $870.96 | $1,348.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,174.90 | Professional | None | $512.86 | $691.83 | $1,174.90 |
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 $489.78 Median $489.78 Typical High $2,041.74 | Professional | 52 · Reduced service | $489.78 | $489.78 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $831.76 | Professional | 53 · Discontinued | $194.98 | $194.98 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $616.60 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $416.87 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $416.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $758.58 | Professional | RR · Rental | $79.43 | $79.43 | $758.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $758.58 | Professional | UE · Used equipment | $588.84 | $588.84 | $758.58 |
Where Wisconsin sits
The same service costs 5.4 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
$1,259
HI $3,236DE $603
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.