How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,175 to $4,169Professionalmedian $1,778 · 10th to 90th $851 to $2,951
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $5,011.87 | Professional | None | $1,380.38 | $1,380.38 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $3,162.28 | Facility | None | $1,905.46 | $2,187.76 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,905.46 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $3,890.45 Typical High $8,128.31 | Facility | None | $1,174.90 | $3,890.45 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $3,630.78 | Professional | None | $851.14 | $1,258.93 | $3,630.78 |
DeanCare Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,187.76 | Facility | None | $602.56 | $1,905.46 | $2,187.76 |
DeanCare Setting Professional Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,905.46 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $10,000.00 | Facility | None | $954.99 | $1,905.46 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $2,454.71 | Professional | None | $870.96 | $1,148.15 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Network Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $3,311.31 | Professional | None | $1,348.96 | $1,778.28 | $3,311.31 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,187.76 | Facility | None | $602.56 | $1,905.46 | $2,187.76 |
Prevea360 Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,071.52 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,905.46 | $2,884.03 | $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 $1,513.56 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,513.56 | $1,778.28 | $1,778.28 |
United Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $3,090.30 | Facility | None | $870.96 | $933.25 | $3,090.30 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,659.59 | Professional | None | $741.31 | $954.99 | $1,659.59 |
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 $691.83 Median $691.83 Typical High $2,511.89 | Professional | 52 · Reduced service | $691.83 | $691.83 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $1,000.00 | Professional | 53 · Discontinued | $275.42 | $275.42 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $758.58 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $501.19 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $1,096.48 | Professional | RR · Rental | $114.82 | $114.82 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Professional | UE · Used equipment | $851.14 | $851.14 | $1,096.48 |
Where Wisconsin sits
The same service costs 3.0 times more in Montana 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· 13th of 51
$1,778
MT $2,570DE $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.