How much rates vary
Facilitymedian $4,169 · 10th to 90th $2,291 to $8,913Professionalmedian $3,981 · 10th to 90th $1,905 to $6,166
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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $6,456.54 | Professional | None | $4,073.80 | $4,073.80 | $6,456.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $6,760.83 | Facility | None | $4,168.69 | $4,677.35 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $4,168.69 Typical High $5,128.61 | Professional | None | $2,290.87 | $4,168.69 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $8,317.64 Typical High $17,378.01 | Facility | None | $2,290.87 | $8,317.64 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $7,762.47 | Professional | None | $1,659.59 | $2,511.89 | $7,762.47 |
DeanCare Setting Facility Modifier None Typical Low $1,174.90 Median $4,073.80 Typical High $4,677.35 | Facility | None | $1,174.90 | $4,073.80 | $4,677.35 |
DeanCare Setting Professional Modifier None Typical Low $4,073.80 Median $5,128.61 Typical High $5,495.41 | Professional | None | $4,073.80 | $5,128.61 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $4,073.80 Typical High $19,054.61 | Facility | None | $2,041.74 | $4,073.80 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $20,417.38 | Professional | None | $1,905.46 | $2,754.23 | $20,417.38 |
Network Health Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Network Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $7,079.46 | Professional | None | $2,951.21 | $3,801.89 | $7,079.46 |
Prevea360 Setting Facility Modifier None Typical Low $1,174.90 Median $4,073.80 Typical High $4,677.35 | Facility | None | $1,174.90 | $4,073.80 | $4,677.35 |
Prevea360 Setting Professional Modifier None Typical Low $2,344.23 Median $3,981.07 Typical High $4,073.80 | Professional | None | $2,344.23 | $3,981.07 | $4,073.80 |
Quartz Setting Professional Modifier None Typical Low $4,073.80 Median $5,888.44 Typical High $9,332.54 | Professional | None | $4,073.80 | $5,888.44 | $9,332.54 |
Quartz Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,511.89 | Facility | None | $2,290.87 | $2,290.87 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,235.94 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $6,025.60 | Facility | None | $1,995.26 | $1,995.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,513.56 | $2,630.27 | $3,467.37 |
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 $2,041.74 Median $2,041.74 Typical High $3,235.94 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $1,288.25 | Professional | 53 · Discontinued | $812.83 | $812.83 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $602.56 Median $602.56 Typical High $977.24 | Professional | 55 · Aftercare only | $602.56 | $602.56 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $645.65 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $645.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | RR · Rental | $218.78 | $218.78 | $288.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,778.28 |
Where Wisconsin sits
The same service costs 2.5 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
$4,074
HI $4,365DE $1,738
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.