How much rates vary
Facilitymedian $1,380 · 10th to 90th $871 to $3,020Professionalmedian $1,288 · 10th to 90th $646 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 $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,290.87 | Facility | None | $1,380.38 | $1,584.89 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $1,380.38 Typical High $1,737.80 | Professional | None | $660.69 | $1,380.38 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,818.38 Typical High $5,754.40 | Facility | None | $870.96 | $2,818.38 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $2,630.27 | Professional | None | $645.65 | $933.25 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $1,348.96 Typical High $1,548.82 | Facility | None | $346.74 | $1,348.96 | $1,548.82 |
DeanCare Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,659.59 | Professional | None | $776.25 | $1,288.25 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $5,623.41 | Facility | None | $602.56 | $1,348.96 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $6,309.57 | Professional | None | $630.96 | $831.76 | $6,309.57 |
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 $346.74 Median $1,348.96 Typical High $1,548.82 | Facility | None | $346.74 | $1,348.96 | $1,548.82 |
Prevea360 Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,348.96 | Professional | None | $776.25 | $1,288.25 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,819.70 | $2,754.23 |
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 $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,778.28 | Facility | None | $616.60 | $645.65 | $1,778.28 |
United Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $1,148.15 | Professional | None | $446.68 | $812.83 | $1,148.15 |
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 $954.99 | Professional | 52 · Reduced service | $676.08 | $676.08 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 53 · Discontinued | $269.15 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $190.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $186.21 | Professional | RR · Rental | $66.07 | $66.07 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | UE · Used equipment | $489.78 | $489.78 | $537.03 |
Where Wisconsin sits
The same service costs 2.3 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· 2nd of 51
$1,349
HI $1,413PA $617
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.