How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,778 to $6,026Professionalmedian $2,630 · 10th to 90th $1,288 to $4,169
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,754.23 | $2,754.23 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,162.28 Typical High $4,570.88 | Facility | None | $2,818.38 | $3,162.28 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $3,467.37 | Professional | None | $1,479.11 | $2,818.38 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $5,623.41 Typical High $11,748.98 | Facility | None | $1,778.28 | $5,623.41 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $5,248.07 | Professional | None | $1,288.25 | $1,905.46 | $5,248.07 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $2,754.23 Typical High $3,162.28 | Facility | None | $776.25 | $2,754.23 | $3,162.28 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $2,754.23 Typical High $3,311.31 | Professional | None | $1,548.82 | $2,754.23 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,754.23 Typical High $12,882.50 | Facility | None | $1,348.96 | $2,754.23 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $15,488.17 | Professional | None | $1,258.93 | $1,819.70 | $15,488.17 |
Network Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Network Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $4,786.30 | Professional | None | $1,995.26 | $2,570.40 | $4,786.30 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $2,754.23 Typical High $3,162.28 | Facility | None | $776.25 | $2,754.23 | $3,162.28 |
Prevea360 Setting Professional Modifier None Typical Low $1,548.82 Median $2,754.23 Typical High $3,090.30 | Professional | None | $1,548.82 | $2,754.23 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $6,165.95 | Professional | None | $2,691.53 | $3,890.45 | $6,165.95 |
Quartz Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Facility | None | $1,778.28 | $1,778.28 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,412.54 | $1,548.82 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,819.70 | $2,398.83 |
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 $1,380.38 Median $1,380.38 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $851.14 | Professional | 53 · Discontinued | $549.54 | $549.54 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $645.65 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $426.58 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | RR · Rental | $147.91 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,202.26 |
Where Wisconsin sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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· 8th of 51
$2,754
HI $3,467MD $1,288
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.