How much rates vary
Facilitymedian $4,898 · 10th to 90th $2,884 to $10,715Professionalmedian $4,571 · 10th to 90th $2,239 to $7,413
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $7,943.28 | Professional | None | $4,786.30 | $4,786.30 | $7,943.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $5,623.41 Typical High $8,128.31 | Facility | None | $4,897.79 | $5,623.41 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $4,897.79 Typical High $6,025.60 | Professional | None | $2,884.03 | $4,897.79 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $10,000.00 Typical High $20,892.96 | Facility | None | $2,884.03 | $10,000.00 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $9,332.54 | Professional | None | $2,089.30 | $3,235.94 | $9,332.54 |
DeanCare Setting Facility Modifier None Typical Low $1,380.38 Median $4,786.30 Typical High $5,495.41 | Facility | None | $1,380.38 | $4,786.30 | $5,495.41 |
DeanCare Setting Professional Modifier None Typical Low $4,786.30 Median $6,165.95 Typical High $6,456.54 | Professional | None | $4,786.30 | $6,165.95 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $22,387.21 | Facility | None | $2,398.83 | $4,786.30 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $24,547.09 | Professional | None | $2,238.72 | $3,235.94 | $24,547.09 |
Network Health Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $8,511.38 | Professional | None | $3,467.37 | $4,570.88 | $8,511.38 |
Prevea360 Setting Facility Modifier None Typical Low $1,380.38 Median $4,786.30 Typical High $5,495.41 | Facility | None | $1,380.38 | $4,786.30 | $5,495.41 |
Prevea360 Setting Professional Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $4,786.30 | Professional | None | $2,754.23 | $4,677.35 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $4,786.30 Median $6,918.31 Typical High $10,964.78 | Professional | None | $4,786.30 | $6,918.31 | $10,964.78 |
Quartz 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 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Security Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,890.45 | $4,570.88 | $4,570.88 |
United Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $3,090.30 Typical High $4,168.69 | Professional | None | $1,778.28 | $3,090.30 | $4,168.69 |
4 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 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Professional | 55 · Aftercare only | $724.44 | $724.44 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | 56 · Pre-op care only | $478.63 | $478.63 | $794.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | RR · Rental | $288.40 | $288.40 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Professional | UE · Used equipment | $2,187.76 | $2,187.76 | $2,344.23 |
Where Wisconsin sits
The same service costs 2.4 times more in Montana than in Delaware. 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· 3rd of 51
$4,786
MT $5,012DE $2,089
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.