How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,175 to $4,365Professionalmedian $1,862 · 10th to 90th $891 to $3,090
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $5,623.41 | Professional | None | $1,445.44 | $1,445.44 | $5,623.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,388.44 | Facility | None | $2,041.74 | $2,344.23 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,122.02 | $2,041.74 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $4,168.69 Typical High $8,511.38 | Facility | None | $1,174.90 | $4,168.69 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $3,890.45 | Professional | None | $851.14 | $1,258.93 | $3,890.45 |
DeanCare Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $2,290.87 | Facility | None | $602.56 | $1,995.26 | $2,290.87 |
DeanCare Setting Professional Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $3,162.28 | Professional | None | $2,187.76 | $3,019.95 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $10,000.00 | Facility | None | $1,000.00 | $1,995.26 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,570.40 | Professional | None | $870.96 | $1,202.26 | $2,570.40 |
Network Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Network Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,445.44 | $1,862.09 | $3,467.37 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $2,290.87 | Facility | None | $602.56 | $1,995.26 | $2,290.87 |
Prevea360 Setting Professional Modifier None Typical Low $1,148.15 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,995.26 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $4,786.30 | Professional | None | $2,041.74 | $3,019.95 | $4,786.30 |
Quartz Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Quartz Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,584.89 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,090.30 | Facility | None | $1,122.02 | $1,258.93 | $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 $724.44 Median $724.44 Typical High $2,818.38 | Professional | 52 · Reduced service | $724.44 | $724.44 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $1,122.02 | Professional | 53 · Discontinued | $288.40 | $288.40 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $851.14 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $562.34 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $562.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | RR · Rental | $112.20 | $112.20 | $147.91 |
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 3.3 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· 8th of 51
$1,905
HI $2,818DE $851
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.