How much rates vary
Facilitymedian $1,175 · 10th to 90th $759 to $2,570Professionalmedian $1,096 · 10th to 90th $550 to $1,778
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 $2,290.87 | Professional | None | $851.14 | $851.14 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,348.96 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $1,174.90 Typical High $1,479.11 | Professional | None | $588.84 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,398.83 Typical High $5,011.87 | Facility | None | $758.58 | $2,398.83 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $2,238.72 | Professional | None | $549.54 | $812.83 | $2,238.72 |
DeanCare Setting Facility Modifier None Typical Low $309.03 Median $1,174.90 Typical High $1,348.96 | Facility | None | $309.03 | $1,174.90 | $1,348.96 |
DeanCare Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,412.54 | Professional | None | $660.69 | $1,174.90 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $5,128.61 | Facility | None | $588.84 | $1,174.90 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,513.56 | Professional | None | $478.63 | $691.83 | $1,513.56 |
Network Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Network Health Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $2,041.74 | Professional | None | $831.76 | $1,096.48 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $309.03 Median $1,174.90 Typical High $1,348.96 | Facility | None | $309.03 | $1,174.90 | $1,348.96 |
Prevea360 Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,288.25 | Professional | None | $660.69 | $1,174.90 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,548.82 | $2,454.71 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $776.25 | Facility | None | $758.58 | $758.58 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,584.89 | Facility | None | $575.44 | $645.65 | $1,584.89 |
United Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $1,000.00 | Professional | None | $389.05 | $575.44 | $1,000.00 |
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 $1,148.15 | Professional | 52 · Reduced service | $426.58 | $426.58 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $457.09 | Professional | 53 · Discontinued | $169.82 | $169.82 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $338.84 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $229.09 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $524.81 | Professional | RR · Rental | $58.88 | $58.88 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | UE · Used equipment | $446.68 | $446.68 | $524.81 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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· 3rd of 51
$1,096
HI $1,445AZ $550
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.