How much rates vary
Facilitymedian $1,318 · 10th to 90th $912 to $2,818Professionalmedian $1,288 · 10th to 90th $646 to $1,995
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,288.25 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,187.76 | Facility | None | $1,318.26 | $1,513.56 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,659.59 | Professional | None | $794.33 | $1,318.26 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,691.53 Typical High $5,495.41 | Facility | None | $912.01 | $2,691.53 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $2,511.89 | Professional | None | $660.69 | $977.24 | $2,511.89 |
DeanCare Setting Facility Modifier None Typical Low $416.87 Median $1,288.25 Typical High $1,479.11 | Facility | None | $416.87 | $1,288.25 | $1,479.11 |
DeanCare Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,548.82 | Professional | None | $741.31 | $1,288.25 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,288.25 Typical High $6,760.83 | Facility | None | $645.65 | $1,288.25 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $8,511.38 | Professional | None | $602.56 | $912.01 | $8,511.38 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $2,238.72 | Professional | None | $933.25 | $1,202.26 | $2,238.72 |
Prevea360 Setting Facility Modifier None Typical Low $416.87 Median $1,288.25 Typical High $1,479.11 | Facility | None | $416.87 | $1,288.25 | $1,479.11 |
Prevea360 Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,348.96 | Professional | None | $741.31 | $1,288.25 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,318.26 | $1,949.84 | $3,235.94 |
Quartz Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $2,089.30 | Facility | None | $575.44 | $676.08 | $2,089.30 |
United Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,148.15 | Professional | None | $537.03 | $851.14 | $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 $645.65 Median $645.65 Typical High $1,288.25 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $512.86 | Professional | 53 · Discontinued | $257.04 | $257.04 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $389.05 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | RR · Rental | $79.43 | $79.43 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $630.96 | Professional | UE · Used equipment | $588.84 | $588.84 | $630.96 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii 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· 11th of 51
$1,288
HI $1,514DE $661
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.