How much rates vary
Facilitymedian $5,888 · 10th to 90th $3,715 to $12,882Professionalmedian $5,623 · 10th to 90th $2,754 to $8,913
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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $9,549.93 | Professional | None | $5,754.40 | $5,754.40 | $9,549.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $6,760.83 Typical High $9,772.37 | Facility | None | $5,888.44 | $6,760.83 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $5,888.44 Typical High $7,413.10 | Professional | None | $3,162.28 | $5,888.44 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $12,022.64 Typical High $24,547.09 | Facility | None | $3,715.35 | $12,022.64 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $11,220.18 | Professional | None | $2,754.23 | $4,168.69 | $11,220.18 |
DeanCare Setting Facility Modifier None Typical Low $1,698.24 Median $5,754.40 Typical High $6,606.93 | Facility | None | $1,698.24 | $5,754.40 | $6,606.93 |
DeanCare Setting Professional Modifier None Typical Low $3,311.31 Median $5,754.40 Typical High $7,079.46 | Professional | None | $3,311.31 | $5,754.40 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $27,542.29 | Facility | None | $2,884.03 | $5,754.40 | $27,542.29 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $34,673.69 | Professional | None | $2,691.53 | $3,890.45 | $34,673.69 |
Network Health Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
Network Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $10,232.93 | Professional | None | $4,168.69 | $5,495.41 | $10,232.93 |
Prevea360 Setting Facility Modifier None Typical Low $1,698.24 Median $5,754.40 Typical High $6,606.93 | Facility | None | $1,698.24 | $5,754.40 | $6,606.93 |
Prevea360 Setting Professional Modifier None Typical Low $3,311.31 Median $5,754.40 Typical High $6,918.31 | Professional | None | $3,311.31 | $5,754.40 | $6,918.31 |
Quartz Setting Professional Modifier None Typical Low $5,754.40 Median $8,317.64 Typical High $13,182.57 | Professional | None | $5,754.40 | $8,317.64 | $13,182.57 |
Quartz Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,890.45 | Facility | None | $3,715.35 | $3,715.35 | $3,890.45 |
Quartz Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $8,511.38 | Facility | None | $3,467.37 | $3,467.37 | $8,511.38 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,890.45 Typical High $5,011.87 | Professional | None | $2,187.76 | $3,890.45 | $5,011.87 |
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 $2,884.03 Median $2,884.03 Typical High $4,786.30 | Professional | 52 · Reduced service | $2,884.03 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,148.15 Median $1,148.15 Typical High $1,905.46 | Professional | 53 · Discontinued | $1,148.15 | $1,148.15 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $870.96 Median $870.96 Typical High $1,445.44 | Professional | 55 · Aftercare only | $870.96 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | 56 · Pre-op care only | $575.44 | $575.44 | $954.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $891.25 | Professional | RR · Rental | $316.23 | $316.23 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Professional | UE · Used equipment | $2,398.83 | $2,398.83 | $2,570.40 |
Where Wisconsin sits
The same service costs 2.9 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· 9th of 51
$5,754
HI $7,943PA $2,754
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.