How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,288 to $5,495Professionalmedian $2,399 · 10th to 90th $1,175 to $3,631
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 $1,819.70 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,511.89 | $3,467.37 |
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 $1,288.25 Median $5,128.61 Typical High $10,715.19 | Facility | None | $1,288.25 | $5,128.61 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $4,786.30 | Professional | None | $954.99 | $1,445.44 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $660.69 Median $2,511.89 Typical High $2,884.03 | Facility | None | $660.69 | $2,511.89 | $2,884.03 |
DeanCare Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $3,467.37 | Professional | None | $2,754.23 | $3,311.31 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $10,964.78 | Facility | None | $1,148.15 | $2,511.89 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $13,182.57 | Professional | None | $1,174.90 | $1,584.89 | $13,182.57 |
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 $660.69 Median $2,511.89 Typical High $2,884.03 | Facility | None | $660.69 | $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 $1,288.25 Median $1,288.25 Typical High $1,445.44 | Facility | None | $1,288.25 | $1,288.25 | $1,445.44 |
Quartz Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,380.38 Typical High $3,388.44 | Facility | None | $1,348.96 | $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 $1,819.70 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $724.44 | Professional | 53 · Discontinued | $501.19 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $363.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | RR · Rental | $128.82 | $128.82 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | UE · Used equipment | $954.99 | $954.99 | $1,047.13 |
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· 4th of 51
$2,399
HI $3,236DE $955
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.