How much rates vary
Facilitymedian $1,380 · 10th to 90th $871 to $2,951Professionalmedian $1,349 · 10th to 90th $631 to $2,089
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,677.35 | Professional | None | $1,348.96 | $1,348.96 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,290.87 | Facility | None | $1,380.38 | $1,548.82 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,698.24 | Professional | None | $812.83 | $1,380.38 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,754.23 Typical High $5,754.40 | Facility | None | $870.96 | $2,754.23 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $2,570.40 | Professional | None | $630.96 | $933.25 | $2,570.40 |
DeanCare Setting Facility Modifier None Typical Low $436.52 Median $1,348.96 Typical High $1,548.82 | Facility | None | $436.52 | $1,348.96 | $1,548.82 |
DeanCare Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,778.28 | Professional | None | $776.25 | $1,348.96 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $7,413.10 | Facility | None | $676.08 | $1,348.96 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $10,000.00 | Professional | None | $630.96 | $954.99 | $10,000.00 |
Network Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Network Health Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,344.23 | Professional | None | $977.24 | $1,258.93 | $2,344.23 |
Prevea360 Setting Facility Modifier None Typical Low $436.52 Median $1,348.96 Typical High $1,548.82 | Facility | None | $436.52 | $1,348.96 | $1,548.82 |
Prevea360 Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,778.28 | Professional | None | $776.25 | $1,348.96 | $1,778.28 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,380.38 | $2,041.74 | $3,388.44 |
Quartz Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $912.01 | Facility | None | $870.96 | $870.96 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,187.76 | Facility | None | $891.25 | $1,513.56 | $2,187.76 |
United Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,202.26 | Professional | None | $562.34 | $891.25 | $1,202.26 |
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 $676.08 Median $676.08 Typical High $2,344.23 | Professional | 52 · Reduced service | $676.08 | $676.08 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $933.25 | Professional | 53 · Discontinued | $269.15 | $269.15 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $707.95 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $467.74 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | RR · Rental | $81.28 | $81.28 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | UE · Used equipment | $616.60 | $616.60 | $660.69 |
Where Wisconsin sits
The same service costs 4.0 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· 8th of 51
$1,349
HI $2,512DE $631
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.