How much rates vary
Facilitymedian $1,202 · 10th to 90th $741 to $2,630Professionalmedian $1,122 · 10th to 90th $537 to $1,862
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $3,388.44 | Professional | None | $851.14 | $851.14 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,995.26 | Facility | None | $1,202.26 | $1,380.38 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,513.56 | Professional | None | $741.31 | $1,202.26 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,454.71 Typical High $5,011.87 | Facility | None | $741.31 | $2,454.71 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $2,290.87 | Professional | None | $537.03 | $812.83 | $2,290.87 |
DeanCare Setting Facility Modifier None Typical Low $380.19 Median $1,174.90 Typical High $1,348.96 | Facility | None | $380.19 | $1,174.90 | $1,348.96 |
DeanCare Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,819.70 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $6,309.57 | Facility | None | $588.84 | $1,174.90 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,584.89 | Professional | None | $549.54 | $758.58 | $1,584.89 |
Network Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Network Health Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $2,041.74 | Professional | None | $851.14 | $1,096.48 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $380.19 Median $1,174.90 Typical High $1,348.96 | Facility | None | $380.19 | $1,174.90 | $1,348.96 |
Prevea360 Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,584.89 | Professional | None | $676.08 | $1,174.90 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,202.26 | $1,819.70 | $3,019.95 |
Quartz Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $794.33 | Facility | None | $741.31 | $741.31 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $933.25 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,905.46 | Facility | None | $776.25 | $912.01 | $1,905.46 |
United Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,047.13 | Professional | None | $457.09 | $630.96 | $1,047.13 |
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 $426.58 Median $426.58 Typical High $1,698.24 | Professional | 52 · Reduced service | $426.58 | $426.58 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $676.08 | Professional | 53 · Discontinued | $173.78 | $173.78 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $501.19 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $338.84 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $338.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | RR · Rental | $70.79 | $70.79 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | UE · Used equipment | $537.03 | $537.03 | $575.44 |
Where Wisconsin sits
The same service costs 4.6 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
$1,122
HI $2,455DE $537
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.