How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,318 to $4,898Professionalmedian $2,089 · 10th to 90th $1,000 to $3,388
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $6,165.95 | Professional | None | $1,621.81 | $1,621.81 | $6,165.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $3,801.89 | Facility | None | $2,290.87 | $2,570.40 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,290.87 Typical High $2,818.38 | Professional | None | $1,258.93 | $2,290.87 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,318.26 | $4,570.88 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $4,265.80 | Professional | None | $954.99 | $1,445.44 | $4,265.80 |
DeanCare Setting Facility Modifier None Typical Low $676.08 Median $2,238.72 Typical High $2,570.40 | Facility | None | $676.08 | $2,238.72 | $2,570.40 |
DeanCare Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $3,311.31 | Professional | None | $2,454.71 | $3,162.28 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $11,220.18 | Facility | None | $1,122.02 | $2,238.72 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,884.03 | Professional | None | $954.99 | $1,412.54 | $2,884.03 |
Network Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Network Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $3,890.45 | Professional | None | $1,621.81 | $2,089.30 | $3,890.45 |
Prevea360 Setting Facility Modifier None Typical Low $676.08 Median $2,238.72 Typical High $2,570.40 | Facility | None | $676.08 | $2,238.72 | $2,570.40 |
Prevea360 Setting Professional Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $2,511.89 | Professional | None | $1,288.25 | $2,238.72 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $5,248.07 | Professional | None | $2,290.87 | $3,311.31 | $5,248.07 |
Quartz Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Facility | None | $1,318.26 | $1,318.26 | $1,445.44 |
Quartz Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,778.28 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,388.44 | Facility | None | $1,122.02 | $1,258.93 | $3,388.44 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,995.26 | Professional | None | $812.83 | $1,148.15 | $1,995.26 |
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 $812.83 Median $812.83 Typical High $3,090.30 | Professional | 52 · Reduced service | $812.83 | $812.83 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $1,230.27 | Professional | 53 · Discontinued | $323.59 | $323.59 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $933.25 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $616.60 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $616.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | RR · Rental | $125.89 | $125.89 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Professional | UE · Used equipment | $954.99 | $954.99 | $1,023.29 |
Where Wisconsin sits
The same service costs 2.9 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· 11th of 51
$2,138
HI $2,754DE $955
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.