How much rates vary
Facilitymedian $5,888 · 10th to 90th $2,884 to $12,589Professionalmedian $5,495 · 10th to 90th $2,692 to $8,511
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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $8,511.38 | Professional | None | $5,754.40 | $5,754.40 | $8,511.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $6,760.83 Typical High $9,772.37 | Facility | None | $5,888.44 | $6,760.83 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $5,888.44 Typical High $7,244.36 | Professional | None | $2,754.23 | $5,888.44 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $12,022.64 Typical High $24,547.09 | Facility | None | $2,884.03 | $12,022.64 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $11,220.18 | Professional | None | $2,089.30 | $3,090.30 | $11,220.18 |
DeanCare Setting Facility Modifier None Typical Low $1,479.11 Median $5,754.40 Typical High $6,606.93 | Facility | None | $1,479.11 | $5,754.40 | $6,606.93 |
DeanCare Setting Professional Modifier None Typical Low $3,311.31 Median $5,754.40 Typical High $6,918.31 | Professional | None | $3,311.31 | $5,754.40 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $5,754.40 Typical High $24,547.09 | Facility | None | $2,570.40 | $5,754.40 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $30,199.52 | Professional | None | $2,630.27 | $3,548.13 | $30,199.52 |
Network Health Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
Network Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $10,000.00 | Professional | None | $4,168.69 | $5,370.32 | $10,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $1,479.11 Median $5,754.40 Typical High $6,606.93 | Facility | None | $1,479.11 | $5,754.40 | $6,606.93 |
Prevea360 Setting Professional Modifier None Typical Low $3,311.31 Median $5,754.40 Typical High $6,025.60 | Professional | None | $3,311.31 | $5,754.40 | $6,025.60 |
Quartz Setting Professional Modifier None Typical Low $5,011.87 Median $7,762.47 Typical High $11,481.54 | Professional | None | $5,011.87 | $7,762.47 | $11,481.54 |
Quartz Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,090.30 | Facility | None | $2,884.03 | $2,884.03 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $7,413.10 | Facility | None | $3,019.95 | $3,090.30 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $4,897.79 | Professional | None | $1,905.46 | $3,467.37 | $4,897.79 |
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 $2,884.03 Median $2,884.03 Typical High $4,265.80 | Professional | 52 · Reduced service | $2,884.03 | $2,884.03 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,148.15 Median $1,148.15 Typical High $1,698.24 | Professional | 53 · Discontinued | $1,148.15 | $1,148.15 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $870.96 Median $870.96 Typical High $1,258.93 | Professional | 55 · Aftercare only | $870.96 | $870.96 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $575.44 Median $575.44 Typical High $851.14 | Professional | 56 · Pre-op care only | $575.44 | $575.44 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $794.33 | Professional | RR · Rental | $275.42 | $275.42 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,238.72 |
Where Wisconsin sits
The same service costs 3.4 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· 7th of 51
$5,495
HI $7,079DE $2,089
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.