How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,512 to $10,000Professionalmedian $4,365 · 10th to 90th $2,089 to $6,918
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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $7,762.47 | Professional | None | $4,466.84 | $4,466.84 | $7,762.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $7,585.78 | Facility | None | $4,570.88 | $5,248.07 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $5,754.40 | Professional | None | $2,754.23 | $4,570.88 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $9,332.54 Typical High $19,054.61 | Facility | None | $2,511.89 | $9,332.54 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $8,709.64 | Professional | None | $1,819.70 | $2,754.23 | $8,709.64 |
DeanCare Setting Facility Modifier None Typical Low $1,288.25 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,288.25 | $4,466.84 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $6,025.60 | Professional | None | $4,466.84 | $5,623.41 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $4,466.84 Typical High $20,892.96 | Facility | None | $2,238.72 | $4,466.84 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $22,387.21 | Professional | None | $2,089.30 | $3,019.95 | $22,387.21 |
Network Health Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Network Health Setting Professional Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $7,762.47 | Professional | None | $3,235.94 | $4,168.69 | $7,762.47 |
Prevea360 Setting Facility Modifier None Typical Low $1,288.25 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,288.25 | $4,466.84 | $5,128.61 |
Prevea360 Setting Professional Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $4,466.84 | Professional | None | $2,570.40 | $4,365.16 | $4,466.84 |
Quartz Setting Professional Modifier None Typical Low $4,466.84 Median $6,456.54 Typical High $10,232.93 | Professional | None | $4,466.84 | $6,456.54 | $10,232.93 |
Quartz Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,754.23 | Facility | None | $2,511.89 | $2,511.89 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Security Health Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Facility | None | $2,187.76 | $2,187.76 | $6,606.93 |
United 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 |
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 $2,238.72 Median $2,238.72 Typical High $3,890.45 | Professional | 52 · Reduced service | $2,238.72 | $2,238.72 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $891.25 Typical High $1,548.82 | Professional | 53 · Discontinued | $891.25 | $891.25 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | 55 · Aftercare only | $676.08 | $676.08 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | 56 · Pre-op care only | $446.68 | $446.68 | $776.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | RR · Rental | $269.15 | $269.15 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,187.76 |
Where Wisconsin sits
The same service costs 2.6 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· 3rd of 51
$4,467
HI $4,786DE $1,820
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.