How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,047 to $3,548Professionalmedian $1,514 · 10th to 90th $759 to $2,455
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,951.21 | Professional | None | $1,584.89 | $1,584.89 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,862.09 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,621.81 Typical High $2,041.74 | Professional | None | $831.76 | $1,621.81 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,047.13 | $3,311.31 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $3,090.30 | Professional | None | $758.58 | $1,122.02 | $3,090.30 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $1,862.09 | Facility | None | $446.68 | $1,584.89 | $1,862.09 |
DeanCare Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $1,949.84 | Professional | None | $912.01 | $1,584.89 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $7,079.46 | Facility | None | $758.58 | $1,584.89 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $9,332.54 | Professional | None | $741.31 | $1,047.13 | $9,332.54 |
Network Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Network Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,513.56 | $2,818.38 |
Prevea360 Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $1,862.09 | Facility | None | $446.68 | $1,584.89 | $1,862.09 |
Prevea360 Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $1,819.70 | Professional | None | $912.01 | $1,584.89 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,513.56 | $2,187.76 | $3,467.37 |
Quartz Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Facility | None | $1,047.13 | $1,047.13 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,238.72 | Facility | None | $912.01 | $1,000.00 | $2,238.72 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,380.38 | Professional | None | $575.44 | $1,023.29 | $1,380.38 |
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 $794.33 Median $794.33 Typical High $1,479.11 | Professional | 52 · Reduced service | $794.33 | $794.33 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $588.84 | Professional | 53 · Discontinued | $323.59 | $323.59 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $436.52 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $295.12 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | RR · Rental | $83.18 | $83.18 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $676.08 | Professional | UE · Used equipment | $630.96 | $630.96 | $676.08 |
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· 4th of 51
$1,585
HI $2,344PA $759
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.