How much rates vary
Facilitymedian $1,000 · 10th to 90th $513 to $2,138Professionalmedian $912 · 10th to 90th $380 to $1,479
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $2,570.40 | Professional | None | $707.95 | $707.95 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,621.81 | Facility | None | $1,000.00 | $1,122.02 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $1,000.00 Typical High $1,230.27 | Professional | None | $489.78 | $1,000.00 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,995.26 Typical High $4,168.69 | Facility | None | $512.86 | $1,995.26 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $1,862.09 | Professional | None | $371.54 | $562.34 | $1,862.09 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $977.24 Typical High $1,122.02 | Facility | None | $263.03 | $977.24 | $1,122.02 |
DeanCare Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,071.52 | $1,380.38 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $977.24 Typical High $4,365.16 | Facility | None | $489.78 | $977.24 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $1,258.93 | Professional | None | $407.38 | $588.84 | $1,258.93 |
Network Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Network Health Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,698.24 | Professional | None | $707.95 | $912.01 | $1,698.24 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $977.24 Typical High $1,122.02 | Facility | None | $263.03 | $977.24 | $1,122.02 |
Prevea360 Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $1,096.48 | Professional | None | $562.34 | $977.24 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,089.30 | Professional | None | $912.01 | $1,318.26 | $2,089.30 |
Quartz Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,348.96 | Facility | None | $478.63 | $549.54 | $1,348.96 |
United Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $831.76 | Professional | None | $323.59 | $489.78 | $831.76 |
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 $354.81 Median $354.81 Typical High $1,288.25 | Professional | 52 · Reduced service | $354.81 | $354.81 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $512.86 | Professional | 53 · Discontinued | $141.25 | $141.25 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $389.05 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $257.04 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $371.54 | Professional | RR · Rental | $48.98 | $48.98 | $371.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | UE · Used equipment | $363.08 | $363.08 | $371.54 |
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· 4th of 51
$912
HI $1,202DE $372
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.