How much rates vary
Facilitymedian $1,549 · 10th to 90th $832 to $3,388Professionalmedian $1,445 · 10th to 90th $603 to $2,344
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $3,890.45 | Professional | None | $1,122.02 | $1,122.02 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,570.40 | Facility | None | $1,548.82 | $1,778.28 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $1,949.84 | Professional | None | $812.83 | $1,548.82 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,162.28 Typical High $6,456.54 | Facility | None | $831.76 | $3,162.28 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $2,951.21 | Professional | None | $602.56 | $891.25 | $2,951.21 |
DeanCare Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $1,737.80 | Facility | None | $426.58 | $1,513.56 | $1,737.80 |
DeanCare Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $1,862.09 | Professional | None | $870.96 | $1,513.56 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $7,079.46 | Facility | None | $758.58 | $1,513.56 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,995.26 | Professional | None | $616.60 | $912.01 | $1,995.26 |
Network Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Network Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,412.54 | $2,630.27 |
Prevea360 Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $1,737.80 | Facility | None | $426.58 | $1,513.56 | $1,737.80 |
Prevea360 Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $1,778.28 | Professional | None | $870.96 | $1,513.56 | $1,778.28 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,137.96 | $3,388.44 |
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 |
United Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $2,187.76 | Facility | None | $870.96 | $891.25 | $2,187.76 |
United Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,318.26 | Professional | None | $524.81 | $758.58 | $1,318.26 |
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 $549.54 Median $549.54 Typical High $1,949.84 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $776.25 | Professional | 53 · Discontinued | $223.87 | $223.87 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $575.44 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $389.05 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | RR · Rental | $81.28 | $81.28 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | UE · Used equipment | $602.56 | $602.56 | $660.69 |
Where Wisconsin sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 6th of 51
$1,445
HI $2,239KS $513
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.