How much rates vary
Facilitymedian $1,318 · 10th to 90th $724 to $2,884Professionalmedian $1,259 · 10th to 90th $603 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 $2,187.76 | Professional | None | $1,288.25 | $1,288.25 | $2,187.76 |
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 $724.44 Median $2,691.53 Typical High $5,495.41 | Facility | None | $724.44 | $2,691.53 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $2,511.89 | Professional | None | $524.81 | $794.33 | $2,511.89 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $1,288.25 Typical High $1,479.11 | Facility | None | $371.54 | $1,288.25 | $1,479.11 |
DeanCare Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,659.59 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,288.25 Typical High $6,025.60 | Facility | None | $645.65 | $1,288.25 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $6,606.93 | Professional | None | $602.56 | $870.96 | $6,606.93 |
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 $1,230.27 Typical High $2,290.87 | Professional | None | $933.25 | $1,230.27 | $2,290.87 |
Prevea360 Setting Facility Modifier None Typical Low $371.54 Median $1,288.25 Typical High $1,479.11 | Facility | None | $371.54 | $1,288.25 | $1,479.11 |
Prevea360 Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,288.25 | Professional | None | $741.31 | $1,258.93 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,862.09 | $2,951.21 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Security Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $1,122.02 | Professional | None | $478.63 | $831.76 | $1,122.02 |
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 $194.98 Median $194.98 Typical High $323.59 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $218.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | RR · Rental | $77.62 | $77.62 | $91.20 |
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 2.4 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· 6th of 51
$1,288
HI $1,349DE $562
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.