How much rates vary
Facilitymedian $2,951 · 10th to 90th $2,042 to $6,457Professionalmedian $2,884 · 10th to 90th $1,514 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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $5,370.32 | Professional | None | $2,884.03 | $2,884.03 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,388.44 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $3,715.35 | Professional | None | $1,698.24 | $2,951.21 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $6,025.60 Typical High $12,589.25 | Facility | None | $2,041.74 | $6,025.60 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $5,623.41 | Professional | None | $1,513.56 | $2,187.76 | $5,623.41 |
DeanCare Setting Facility Modifier None Typical Low $912.01 Median $2,884.03 Typical High $3,311.31 | Facility | None | $912.01 | $2,884.03 | $3,311.31 |
DeanCare Setting Professional Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,884.03 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $15,135.61 | Facility | None | $1,479.11 | $2,884.03 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $19,054.61 | Professional | None | $1,348.96 | $2,089.30 | $19,054.61 |
Network Health Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Network Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $5,128.61 | Professional | None | $2,089.30 | $2,754.23 | $5,128.61 |
Prevea360 Setting Facility Modifier None Typical Low $912.01 Median $2,884.03 Typical High $3,311.31 | Facility | None | $912.01 | $2,884.03 | $3,311.31 |
Prevea360 Setting Professional Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,884.03 | $3,801.89 |
Quartz Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $7,244.36 | Professional | None | $2,951.21 | $4,466.84 | $7,244.36 |
Quartz Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,905.46 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,949.84 | $2,570.40 |
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 $1,445.44 Median $1,445.44 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $1,071.52 | Professional | 53 · Discontinued | $575.44 | $575.44 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $794.33 | Professional | 55 · Aftercare only | $436.52 | $436.52 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $537.03 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $537.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | RR · Rental | $169.82 | $169.82 | $229.09 |
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 3.1 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· 11th of 51
$2,884
HI $4,677PA $1,514
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.