How much rates vary
Facilitymedian $3,631 · 10th to 90th $2,291 to $7,762Professionalmedian $3,388 · 10th to 90th $1,660 to $5,129
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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $4,897.79 | Professional | None | $2,511.89 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $6,025.60 | Facility | None | $3,630.78 | $4,073.80 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $3,630.78 Typical High $4,466.84 | Professional | None | $1,737.80 | $3,630.78 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $7,244.36 Typical High $15,135.61 | Facility | None | $2,290.87 | $7,244.36 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $6,760.83 | Professional | None | $1,659.59 | $2,511.89 | $6,760.83 |
DeanCare Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $4,073.80 | Facility | None | $933.25 | $3,548.13 | $4,073.80 |
DeanCare Setting Professional Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $4,466.84 | Professional | None | $3,890.45 | $4,265.80 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $3,548.13 Typical High $15,488.17 | Facility | None | $1,621.81 | $3,548.13 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $18,620.87 | Professional | None | $1,659.59 | $2,238.72 | $18,620.87 |
Network Health Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Network Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $6,165.95 | Professional | None | $2,570.40 | $3,311.31 | $6,165.95 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $4,073.80 | Facility | None | $933.25 | $3,548.13 | $4,073.80 |
Prevea360 Setting Professional Modifier None Typical Low $2,041.74 Median $3,548.13 Typical High $3,890.45 | Professional | None | $2,041.74 | $3,548.13 | $3,890.45 |
Quartz Setting Professional Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $7,244.36 | Professional | None | $3,162.28 | $4,786.30 | $7,244.36 |
Quartz Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Facility | None | $2,290.87 | $2,290.87 | $2,398.83 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $4,677.35 | Facility | None | $1,778.28 | $1,905.46 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,202.26 | $2,187.76 | $3,019.95 |
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 $1,778.28 Median $1,778.28 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $1,023.29 | Professional | 53 · Discontinued | $707.95 | $707.95 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $776.25 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | RR · Rental | $173.78 | $173.78 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,412.54 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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
$3,467
HI $4,365PA $1,549
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.