How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,622 to $5,495Professionalmedian $2,399 · 10th to 90th $1,175 to $3,802
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,073.80 | Professional | None | $2,511.89 | $2,511.89 | $4,073.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $4,168.69 | Facility | None | $2,570.40 | $2,884.03 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $3,162.28 | Professional | None | $1,288.25 | $2,570.40 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $5,128.61 Typical High $10,715.19 | Facility | None | $1,621.81 | $5,128.61 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $4,786.30 | Professional | None | $1,174.90 | $1,737.80 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $676.08 Median $2,511.89 Typical High $2,884.03 | Facility | None | $676.08 | $2,511.89 | $2,884.03 |
DeanCare Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $3,019.95 | Professional | None | $1,445.44 | $2,511.89 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $11,220.18 | Facility | None | $1,174.90 | $2,511.89 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $13,803.84 | Professional | None | $1,174.90 | $1,621.81 | $13,803.84 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Network Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $4,365.16 | Professional | None | $1,819.70 | $2,344.23 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $676.08 Median $2,511.89 Typical High $2,884.03 | Facility | None | $676.08 | $2,511.89 | $2,884.03 |
Prevea360 Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $2,754.23 | Professional | None | $1,445.44 | $2,511.89 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $5,248.07 | Professional | None | $2,290.87 | $3,388.44 | $5,248.07 |
Quartz Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,621.81 | $1,621.81 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $3,388.44 | Facility | None | $776.25 | $1,380.38 | $3,388.44 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,548.82 Typical High $2,137.96 | Professional | None | $870.96 | $1,548.82 | $2,137.96 |
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 $1,258.93 Median $1,258.93 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | 53 · Discontinued | $501.19 | $501.19 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $616.60 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $407.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | RR · Rental | $128.82 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Professional | UE · Used equipment | $954.99 | $954.99 | $1,023.29 |
Where Wisconsin sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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
$2,512
HI $3,020PA $1,122
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.