How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,585 to $5,495Professionalmedian $2,344 · 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 $2,454.71 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 $2,041.74 Median $2,454.71 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,454.71 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $4,168.69 | Facility | None | $2,511.89 | $2,884.03 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,318.26 | $2,511.89 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $5,128.61 Typical High $10,471.29 | Facility | None | $1,584.89 | $5,128.61 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $4,786.30 | Professional | None | $1,174.90 | $1,778.28 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $2,454.71 Typical High $2,818.38 | Facility | None | $691.83 | $2,454.71 | $2,818.38 |
DeanCare Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,388.44 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,454.71 Typical High $11,481.54 | Facility | None | $1,202.26 | $2,454.71 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $13,803.84 | Professional | None | $1,148.15 | $1,659.59 | $13,803.84 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Network Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,344.23 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $691.83 Median $2,454.71 Typical High $2,818.38 | Facility | None | $691.83 | $2,454.71 | $2,818.38 |
Prevea360 Setting Professional Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $2,884.03 | Professional | None | $1,412.54 | $2,454.71 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $2,398.83 Median $3,467.37 Typical High $5,495.41 | Professional | None | $2,398.83 | $3,467.37 | $5,495.41 |
Quartz Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,584.89 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $3,548.13 | Facility | None | $1,258.93 | $1,445.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $2,137.96 | Professional | None | $912.01 | $1,621.81 | $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 $1,230.27 Median $1,230.27 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $812.83 | Professional | 53 · Discontinued | $489.78 | $489.78 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $398.11 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $173.78 | Professional | RR · Rental | $131.83 | $131.83 | $173.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $1,071.52 | Professional | UE · Used equipment | $977.24 | $977.24 | $1,071.52 |
Where Wisconsin sits
The same service costs 2.7 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· 5th of 51
$2,455
HI $3,162DE $1,175
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.