How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,549 to $6,761Professionalmedian $2,884 · 10th to 90th $1,413 to $4,677
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,677.35 | Professional | None | $3,019.95 | $3,019.95 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $5,128.61 | Facility | None | $3,090.30 | $3,548.13 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $3,890.45 | Professional | None | $1,513.56 | $3,090.30 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $6,309.57 Typical High $12,882.50 | Facility | None | $1,548.82 | $6,309.57 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $5,888.44 | Professional | None | $1,122.02 | $1,659.59 | $5,888.44 |
DeanCare Setting Facility Modifier None Typical Low $794.33 Median $3,019.95 Typical High $3,467.37 | Facility | None | $794.33 | $3,019.95 | $3,467.37 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $3,715.35 | Professional | None | $1,737.80 | $2,951.21 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $13,489.63 | Facility | None | $1,380.38 | $3,019.95 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $15,848.93 | Professional | None | $1,412.54 | $1,905.46 | $15,848.93 |
Network Health Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Network Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $5,370.32 | Professional | None | $2,187.76 | $2,884.03 | $5,370.32 |
Prevea360 Setting Facility Modifier None Typical Low $794.33 Median $3,019.95 Typical High $3,467.37 | Facility | None | $794.33 | $3,019.95 | $3,467.37 |
Prevea360 Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $3,019.95 | Professional | None | $1,737.80 | $2,951.21 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $6,309.57 | Professional | None | $2,754.23 | $4,073.80 | $6,309.57 |
Quartz Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,479.11 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,862.09 | $2,630.27 |
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 $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $954.99 | Professional | 53 · Discontinued | $602.56 | $602.56 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | 55 · Aftercare only | $457.09 | $457.09 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | RR · Rental | $151.36 | $151.36 | $204.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,230.27 |
Where Wisconsin sits
The same service costs 3.0 times more in Iowa 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
$3,020
IA $3,311DE $1,122
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.