How much rates vary
Facilitymedian $5,623 · 10th to 90th $3,548 to $12,303Professionalmedian $5,248 · 10th to 90th $2,630 to $8,511
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 $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $13,803.84 | Professional | None | $5,495.41 | $5,495.41 | $13,803.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $6,456.54 Typical High $9,332.54 | Facility | None | $5,623.41 | $6,456.54 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $7,079.46 | Professional | None | $2,951.21 | $5,623.41 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $11,481.54 Typical High $23,442.29 | Facility | None | $3,548.13 | $11,481.54 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $10,715.19 | Professional | None | $2,630.27 | $3,801.89 | $10,715.19 |
DeanCare Setting Facility Modifier None Typical Low $1,548.82 Median $5,495.41 Typical High $6,309.57 | Facility | None | $1,548.82 | $5,495.41 | $6,309.57 |
DeanCare Setting Professional Modifier None Typical Low $3,162.28 Median $5,495.41 Typical High $6,760.83 | Professional | None | $3,162.28 | $5,495.41 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $5,495.41 Typical High $25,703.96 | Facility | None | $2,691.53 | $5,495.41 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $44,668.36 | Professional | None | $2,570.40 | $3,715.35 | $44,668.36 |
Network Health Setting Facility Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | None | $8,912.51 | $8,912.51 | $8,912.51 |
Network Health Setting Professional Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $9,772.37 | Professional | None | $3,981.07 | $5,248.07 | $9,772.37 |
Prevea360 Setting Facility Modifier None Typical Low $1,548.82 Median $5,495.41 Typical High $6,309.57 | Facility | None | $1,548.82 | $5,495.41 | $6,309.57 |
Prevea360 Setting Professional Modifier None Typical Low $3,162.28 Median $5,495.41 Typical High $6,456.54 | Professional | None | $3,162.28 | $5,495.41 | $6,456.54 |
Quartz Setting Professional Modifier None Typical Low $5,370.32 Median $7,762.47 Typical High $12,302.69 | Professional | None | $5,370.32 | $7,762.47 | $12,302.69 |
Quartz Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,715.35 | Facility | None | $3,548.13 | $3,548.13 | $3,715.35 |
Quartz Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,365.16 | $7,943.28 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $4,786.30 | Professional | None | $1,995.26 | $3,467.37 | $4,786.30 |
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 $2,754.23 Median $2,754.23 Typical High $6,918.31 | Professional | 52 · Reduced service | $2,754.23 | $2,754.23 | $6,918.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,096.48 Median $1,096.48 Typical High $2,754.23 | Professional | 53 · Discontinued | $1,096.48 | $1,096.48 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $831.76 Typical High $2,041.74 | Professional | 55 · Aftercare only | $831.76 | $831.76 | $2,041.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $549.54 Median $549.54 Typical High $1,380.38 | Professional | 56 · Pre-op care only | $549.54 | $549.54 | $1,380.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | RR · Rental | $295.12 | $295.12 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,398.83 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,398.83 |
Where Wisconsin sits
The same service costs 4.3 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· 3rd of 51
$5,495
HI $11,220PA $2,630
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.