How much rates vary
Facilitymedian $1,413 · 10th to 90th $891 to $3,020Professionalmedian $1,288 · 10th to 90th $646 to $2,089
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $3,890.45 | Professional | None | $1,000.00 | $1,000.00 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,290.87 | Facility | None | $1,412.54 | $1,584.89 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,412.54 Typical High $1,737.80 | Professional | None | $831.76 | $1,412.54 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $5,888.44 | Facility | None | $891.25 | $2,818.38 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $2,630.27 | Professional | None | $645.65 | $977.24 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $1,380.38 Typical High $1,584.89 | Facility | None | $446.68 | $1,380.38 | $1,584.89 |
DeanCare Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,995.26 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $7,413.10 | Facility | None | $691.83 | $1,380.38 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $1,778.28 | Professional | None | $630.96 | $870.96 | $1,778.28 |
Network Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Network Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,288.25 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $446.68 Median $1,380.38 Typical High $1,584.89 | Facility | None | $446.68 | $1,380.38 | $1,584.89 |
Prevea360 Setting Professional Modifier None Typical Low $794.33 Median $1,380.38 Typical High $1,698.24 | Professional | None | $794.33 | $1,380.38 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,412.54 | $2,089.30 | $3,467.37 |
Quartz Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $912.01 | Facility | None | $891.25 | $891.25 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $2,238.72 | Facility | None | $851.14 | $870.96 | $2,238.72 |
United Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,202.26 | Professional | None | $537.03 | $758.58 | $1,202.26 |
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 $501.19 Median $501.19 Typical High $1,949.84 | Professional | 52 · Reduced service | $501.19 | $501.19 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $776.25 | Professional | 53 · Discontinued | $199.53 | $199.53 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $588.84 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $389.05 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | RR · Rental | $83.18 | $83.18 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | UE · Used equipment | $616.60 | $616.60 | $676.08 |
Where Wisconsin sits
The same service costs 3.0 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
$1,288
HI $1,905DE $646
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.