How much rates vary
Facilitymedian $3,802 · 10th to 90th $2,692 to $8,318Professionalmedian $3,715 · 10th to 90th $1,862 to $5,754
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $6,456.54 | Professional | None | $3,801.89 | $3,801.89 | $6,456.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,365.16 Typical High $6,309.57 | Facility | None | $3,801.89 | $4,365.16 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $3,801.89 Typical High $4,786.30 | Professional | None | $2,041.74 | $3,801.89 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $16,218.10 | Facility | None | $2,691.53 | $7,762.47 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $7,244.36 | Professional | None | $1,949.84 | $2,951.21 | $7,244.36 |
DeanCare Setting Facility Modifier None Typical Low $1,096.48 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,096.48 | $3,801.89 | $4,365.16 |
DeanCare Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $4,570.88 | Professional | None | $2,137.96 | $3,715.35 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $17,782.79 | Facility | None | $1,905.46 | $3,801.89 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $19,054.61 | Professional | None | $1,737.80 | $2,570.40 | $19,054.61 |
Network Health Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Network Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $6,606.93 | Professional | None | $2,754.23 | $3,548.13 | $6,606.93 |
Prevea360 Setting Facility Modifier None Typical Low $1,096.48 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,096.48 | $3,801.89 | $4,365.16 |
Prevea360 Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $3,801.89 | Professional | None | $2,137.96 | $3,715.35 | $3,801.89 |
Quartz Setting Professional Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $8,511.38 | Professional | None | $3,715.35 | $5,370.32 | $8,511.38 |
Quartz Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $5,495.41 | Facility | None | $1,819.70 | $1,819.70 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,412.54 | $2,398.83 | $3,235.94 |
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 $562.34 Median $562.34 Typical High $954.99 | Professional | 55 · Aftercare only | $562.34 | $562.34 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $645.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $575.44 | Professional | RR · Rental | $204.17 | $204.17 | $575.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,659.59 |
Where Wisconsin sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$3,802
HI $4,074NJ $1,950
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.