How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,778 to $7,413Professionalmedian $3,236 · 10th to 90th $1,585 to $5,012
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,691.53 | $3,388.44 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $5,754.40 | Facility | None | $3,467.37 | $3,981.07 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $3,467.37 Typical High $4,265.80 | Professional | None | $1,819.70 | $3,467.37 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $7,079.46 Typical High $14,454.40 | Facility | None | $1,778.28 | $7,079.46 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $6,606.93 | Professional | None | $1,288.25 | $1,949.84 | $6,606.93 |
DeanCare Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $3,890.45 | Facility | None | $912.01 | $3,388.44 | $3,890.45 |
DeanCare Setting Professional Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $4,570.88 | Professional | None | $3,715.35 | $4,365.16 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $14,791.08 | Facility | None | $1,584.89 | $3,388.44 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $18,197.01 | Professional | None | $1,584.89 | $2,187.76 | $18,197.01 |
Network Health Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Network Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $5,888.44 | Professional | None | $2,454.71 | $3,162.28 | $5,888.44 |
Prevea360 Setting Facility Modifier None Typical Low $912.01 Median $3,388.44 Typical High $3,890.45 | Facility | None | $912.01 | $3,388.44 | $3,890.45 |
Prevea360 Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $3,715.35 | Professional | None | $1,949.84 | $3,388.44 | $3,715.35 |
Quartz Setting Professional Modifier None Typical Low $3,162.28 Median $4,570.88 Typical High $7,244.36 | Professional | None | $3,162.28 | $4,570.88 | $7,244.36 |
Quartz Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,949.84 | Facility | None | $1,778.28 | $1,778.28 | $1,949.84 |
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 $1,230.27 Median $1,862.09 Typical High $4,570.88 | Facility | None | $1,230.27 | $1,862.09 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,174.90 | $2,089.30 | $2,884.03 |
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 $1,698.24 Median $1,698.24 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $1,000.00 | Professional | 53 · Discontinued | $676.08 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $181.97 Median $181.97 Typical High $223.87 | Professional | RR · Rental | $181.97 | $181.97 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | UE · Used equipment | $1,348.96 | $1,348.96 | $1,479.11 |
Where Wisconsin sits
The same service costs 3.2 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· 7th of 51
$3,311
HI $4,169DE $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.