How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,820 to $6,607Professionalmedian $2,818 · 10th to 90th $1,318 to $4,467
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,089.30 | $2,951.21 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $5,011.87 | Facility | None | $3,019.95 | $3,467.37 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $3,019.95 Typical High $3,801.89 | Professional | None | $1,778.28 | $3,019.95 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,819.70 | $6,165.95 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $5,754.40 | Professional | None | $1,318.26 | $2,187.76 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $3,388.44 | Facility | None | $741.31 | $2,951.21 | $3,388.44 |
DeanCare Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,890.45 | Professional | None | $2,951.21 | $3,715.35 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $12,022.64 | Facility | None | $1,288.25 | $2,951.21 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $14,454.40 | Professional | None | $1,318.26 | $1,737.80 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $5,128.61 | Professional | None | $2,137.96 | $2,754.23 | $5,128.61 |
Prevea360 Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $3,388.44 | Facility | None | $741.31 | $2,951.21 | $3,388.44 |
Prevea360 Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,698.24 | $2,290.87 | $2,951.21 |
Quartz Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $5,754.40 | Professional | None | $2,511.89 | $3,981.07 | $5,754.40 |
Quartz Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $3,715.35 | Facility | None | $870.96 | $1,148.15 | $3,715.35 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $2,511.89 | Professional | None | $977.24 | $1,698.24 | $2,511.89 |
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 $1,479.11 Median $1,479.11 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $851.14 | Professional | 53 · Discontinued | $588.84 | $588.84 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $630.96 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $426.58 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | RR · Rental | $169.82 | $169.82 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,380.38 |
Where Wisconsin sits
The same service costs 2.3 times more in Wisconsin 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· 1st of 51
$2,951
WI $2,951PA $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.