How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,585 to $5,370Professionalmedian $2,291 · 10th to 90th $1,122 to $3,715
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $4,073.80 | Facility | None | $2,454.71 | $2,818.38 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,122.02 | $2,454.71 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $10,471.29 | Facility | None | $1,584.89 | $5,011.87 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $4,677.35 | Professional | None | $1,148.15 | $1,698.24 | $4,677.35 |
DeanCare Setting Facility Modifier None Typical Low $588.84 Median $2,454.71 Typical High $2,818.38 | Facility | None | $588.84 | $2,454.71 | $2,818.38 |
DeanCare Setting Professional Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $2,951.21 | Professional | None | $1,380.38 | $2,454.71 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,023.29 | $2,398.83 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $11,748.98 | Professional | None | $1,096.48 | $1,412.54 | $11,748.98 |
Network Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Network Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,290.87 | $4,265.80 |
Prevea360 Setting Facility Modifier None Typical Low $588.84 Median $2,454.71 Typical High $2,818.38 | Facility | None | $588.84 | $2,454.71 | $2,818.38 |
Prevea360 Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,380.38 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $4,677.35 | Professional | None | $1,995.26 | $3,311.31 | $4,677.35 |
Quartz Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,584.89 | $1,584.89 | $1,621.81 |
Quartz Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,951.21 | Facility | None | $1,202.26 | $1,258.93 | $2,951.21 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $2,089.30 | Professional | None | $812.83 | $1,380.38 | $2,089.30 |
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 $1,230.27 Median $1,230.27 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $676.08 | Professional | 53 · Discontinued | $489.78 | $489.78 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $338.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | RR · Rental | $112.20 | $112.20 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $912.01 | Professional | UE · Used equipment | $831.76 | $831.76 | $912.01 |
Where Wisconsin sits
The same service costs 2.8 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· 2nd of 51
$2,455
HI $2,692DC $977
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.