How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,995 to $8,128Professionalmedian $3,548 · 10th to 90th $1,479 to $5,623
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $9,772.37 | Professional | None | $2,691.53 | $2,691.53 | $9,772.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $6,165.95 | Facility | None | $3,801.89 | $4,265.80 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $3,801.89 Typical High $5,128.61 | Professional | None | $1,949.84 | $3,801.89 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $7,585.78 Typical High $15,848.93 | Facility | None | $1,995.26 | $7,585.78 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $7,079.46 | Professional | None | $1,479.11 | $2,137.96 | $7,079.46 |
DeanCare Setting Facility Modifier None Typical Low $1,047.13 Median $3,715.35 Typical High $4,265.80 | Facility | None | $1,047.13 | $3,715.35 | $4,265.80 |
DeanCare Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $4,466.84 | Professional | None | $2,137.96 | $3,715.35 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $17,378.01 | Facility | None | $1,862.09 | $3,715.35 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $4,786.30 | Professional | None | $1,479.11 | $2,238.72 | $4,786.30 |
Network Health Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Network Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $6,456.54 | Professional | None | $2,691.53 | $3,467.37 | $6,456.54 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $3,715.35 Typical High $4,265.80 | Facility | None | $1,047.13 | $3,715.35 | $4,265.80 |
Prevea360 Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $4,265.80 | Professional | None | $2,137.96 | $3,715.35 | $4,265.80 |
Quartz Setting Professional Modifier None Typical Low $3,548.13 Median $5,128.61 Typical High $8,128.31 | Professional | None | $3,548.13 | $5,128.61 | $8,128.31 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,995.26 | $1,995.26 | $2,137.96 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $5,248.07 | Facility | None | $2,137.96 | $2,951.21 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,258.93 | $1,862.09 | $3,162.28 |
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 $1,348.96 Median $1,348.96 Typical High $4,786.30 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $4,786.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $1,949.84 | Professional | 53 · Discontinued | $537.03 | $537.03 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $1,445.44 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $977.24 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | RR · Rental | $194.98 | $194.98 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,584.89 |
Where Wisconsin sits
The same service costs 4.4 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· 6th of 51
$3,548
HI $6,457DE $1,479
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.