How much rates vary
Facilitymedian $7,586 · 10th to 90th $4,898 to $16,596Professionalmedian $7,079 · 10th to 90th $3,548 to $11,482
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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $14,125.38 | Professional | None | $7,585.78 | $7,585.78 | $14,125.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $8,709.64 Typical High $12,589.25 | Facility | None | $7,585.78 | $8,709.64 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $7,585.78 Typical High $9,549.93 | Professional | None | $3,801.89 | $7,585.78 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $15,488.17 Typical High $32,359.37 | Facility | None | $4,897.79 | $15,488.17 | $32,359.37 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $14,454.40 | Professional | None | $3,548.13 | $5,248.07 | $14,454.40 |
DeanCare Setting Facility Modifier None Typical Low $1,995.26 Median $7,585.78 Typical High $8,709.64 | Facility | None | $1,995.26 | $7,585.78 | $8,709.64 |
DeanCare Setting Professional Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $9,120.11 | Professional | None | $4,265.80 | $7,585.78 | $9,120.11 |
Medica Setting Facility Modifier None Typical Low $3,467.37 Median $7,585.78 Typical High $33,113.11 | Facility | None | $3,467.37 | $7,585.78 | $33,113.11 |
Medica Setting Professional Modifier None Typical Low $3,467.37 Median $4,786.30 Typical High $46,773.51 | Professional | None | $3,467.37 | $4,786.30 | $46,773.51 |
Network Health Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
Network Health Setting Professional Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $13,182.57 | Professional | None | $5,495.41 | $7,079.46 | $13,182.57 |
Prevea360 Setting Facility Modifier None Typical Low $1,995.26 Median $7,585.78 Typical High $8,709.64 | Facility | None | $1,995.26 | $7,585.78 | $8,709.64 |
Prevea360 Setting Professional Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $8,317.64 | Professional | None | $4,265.80 | $7,585.78 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $6,760.83 Median $10,232.93 Typical High $15,488.17 | Professional | None | $6,760.83 | $10,232.93 | $15,488.17 |
Quartz Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,011.87 | Facility | None | $4,897.79 | $4,897.79 | $5,011.87 |
Quartz Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $10,000.00 | Facility | None | $4,073.80 | $5,370.32 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $4,677.35 Typical High $6,456.54 | Professional | None | $2,570.40 | $4,677.35 | $6,456.54 |
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 $3,801.89 Median $3,801.89 Typical High $7,079.46 | Professional | 52 · Reduced service | $3,801.89 | $3,801.89 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,513.56 Median $1,513.56 Typical High $2,818.38 | Professional | 53 · Discontinued | $1,513.56 | $1,513.56 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,122.02 Median $1,122.02 Typical High $2,137.96 | Professional | 55 · Aftercare only | $1,122.02 | $1,122.02 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $758.58 Median $758.58 Typical High $1,412.54 | Professional | 56 · Pre-op care only | $758.58 | $758.58 | $1,412.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $501.19 | Professional | RR · Rental | $380.19 | $380.19 | $501.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $3,090.30 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $3,090.30 |
Where Wisconsin sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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
$7,586
HI $11,482DC $3,311
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.