How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,259 to $5,129Professionalmedian $2,239 · 10th to 90th $1,096 to $3,548
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,548.13 | Professional | None | $2,344.23 | $2,344.23 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $3,890.45 | Facility | None | $2,398.83 | $2,691.53 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $2,398.83 Typical High $2,951.21 | Professional | None | $1,230.27 | $2,398.83 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $4,786.30 Typical High $10,000.00 | Facility | None | $1,258.93 | $4,786.30 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $4,466.84 | Professional | None | $933.25 | $1,348.96 | $4,466.84 |
DeanCare Setting Facility Modifier None Typical Low $660.69 Median $2,344.23 Typical High $2,691.53 | Facility | None | $660.69 | $2,344.23 | $2,691.53 |
DeanCare Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $2,818.38 | Professional | None | $1,348.96 | $2,344.23 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,344.23 Typical High $10,964.78 | Facility | None | $1,122.02 | $2,344.23 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $14,454.40 | Professional | None | $1,096.48 | $1,548.82 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Network Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $4,073.80 | Professional | None | $1,698.24 | $2,187.76 | $4,073.80 |
Prevea360 Setting Facility Modifier None Typical Low $660.69 Median $2,344.23 Typical High $2,691.53 | Facility | None | $660.69 | $2,344.23 | $2,691.53 |
Prevea360 Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $2,691.53 | Professional | None | $1,348.96 | $2,344.23 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $5,128.61 | Professional | None | $2,238.72 | $3,235.94 | $5,128.61 |
Quartz Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,258.93 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None | $933.25 | $933.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $3,311.31 | Facility | None | $1,348.96 | $1,584.89 | $3,311.31 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,513.56 Typical High $1,995.26 | Professional | None | $851.14 | $1,513.56 | $1,995.26 |
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 $1,174.90 Median $1,174.90 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $707.95 | Professional | 53 · Discontinued | $467.74 | $467.74 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $537.03 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $354.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $165.96 | Professional | RR · Rental | $123.03 | $123.03 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | UE · Used equipment | $933.25 | $933.25 | $1,000.00 |
Where Wisconsin sits
The same service costs 3.8 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
$2,344
HI $3,548DE $933
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.