How much rates vary
Facilitymedian $1,820 · 10th to 90th $891 to $3,890Professionalmedian $1,622 · 10th to 90th $661 to $2,692
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $4,073.80 | Professional | None | $1,288.25 | $1,288.25 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,819.70 | $2,089.30 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,819.70 Typical High $2,238.72 | Professional | None | $851.14 | $1,819.70 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,630.78 Typical High $7,585.78 | Facility | None | $891.25 | $3,630.78 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $3,467.37 | Professional | None | $645.65 | $977.24 | $3,467.37 |
DeanCare Setting Facility Modifier None Typical Low $457.09 Median $1,778.28 Typical High $2,041.74 | Facility | None | $457.09 | $1,778.28 | $2,041.74 |
DeanCare Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,344.23 | Professional | None | $1,778.28 | $2,187.76 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,778.28 Typical High $7,413.10 | Facility | None | $891.25 | $1,778.28 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $2,290.87 | Professional | None | $707.95 | $1,071.52 | $2,290.87 |
Network Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Network Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,288.25 | $1,659.59 | $3,090.30 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $1,778.28 Typical High $2,041.74 | Facility | None | $457.09 | $1,778.28 | $2,041.74 |
Prevea360 Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,737.80 | $1,778.28 |
Quartz Setting Professional Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,398.83 | $3,630.78 |
Quartz Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Security Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,659.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $2,344.23 | Facility | None | $707.95 | $870.96 | $2,344.23 |
United Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,513.56 | Professional | None | $588.84 | $891.25 | $1,513.56 |
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 $645.65 Median $645.65 Typical High $2,041.74 | Professional | 52 · Reduced service | $645.65 | $645.65 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $812.83 | Professional | 53 · Discontinued | $257.04 | $257.04 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $616.60 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $407.38 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $407.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $588.84 | Professional | RR · Rental | $85.11 | $85.11 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $588.84 | $645.65 | $645.65 |
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· 4th of 51
$1,698
HI $1,950DE $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.