How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,230 to $3,981Professionalmedian $1,738 · 10th to 90th $891 to $2,754
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,819.70 | $1,819.70 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,862.09 | $2,089.30 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,862.09 Typical High $2,290.87 | Professional | None | $912.01 | $1,862.09 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,715.35 Typical High $7,762.47 | Facility | None | $1,230.27 | $3,715.35 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $3,467.37 | Professional | None | $891.25 | $1,380.38 | $3,467.37 |
DeanCare Setting Facility Modifier None Typical Low $478.63 Median $1,819.70 Typical High $2,089.30 | Facility | None | $478.63 | $1,819.70 | $2,089.30 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,698.24 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $7,762.47 | Facility | None | $831.76 | $1,819.70 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $8,317.64 | Professional | None | $851.14 | $1,148.15 | $8,317.64 |
Network Health 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 |
Network Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,698.24 | $3,162.28 |
Prevea360 Setting Facility Modifier None Typical Low $478.63 Median $1,819.70 Typical High $2,089.30 | Facility | None | $478.63 | $1,819.70 | $2,089.30 |
Prevea360 Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,698.24 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,621.81 | $2,454.71 | $3,801.89 |
Quartz Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $2,398.83 | Facility | None | $851.14 | $851.14 | $2,398.83 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $1,548.82 | Professional | None | $616.60 | $1,122.02 | $1,548.82 |
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 $912.01 Median $912.01 Typical High $1,318.26 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $524.81 | Professional | 53 · Discontinued | $363.08 | $363.08 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $398.11 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $263.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $251.19 | Professional | RR · Rental | $91.20 | $91.20 | $251.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | UE · Used equipment | $676.08 | $676.08 | $724.44 |
Where Wisconsin sits
The same service costs 2.1 times more in Wisconsin than in Florida. 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
$1,820
WI $1,820FL $871
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.