How much rates vary
Facilitymedian $1,413 · 10th to 90th $933 to $3,090Professionalmedian $1,318 · 10th to 90th $676 to $2,089
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,380.38 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $2,344.23 | Facility | None | $1,412.54 | $1,621.81 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $1,412.54 Typical High $1,737.80 | Professional | None | $691.83 | $1,412.54 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,884.03 Typical High $6,025.60 | Facility | None | $933.25 | $2,884.03 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $2,691.53 | Professional | None | $676.08 | $1,023.29 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $1,380.38 Typical High $1,621.81 | Facility | None | $371.54 | $1,380.38 | $1,621.81 |
DeanCare Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,698.24 | Professional | None | $794.33 | $1,258.93 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $6,025.60 | Facility | None | $645.65 | $1,380.38 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $7,585.78 | Professional | None | $645.65 | $891.25 | $7,585.78 |
Network Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Network Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,318.26 | $2,454.71 |
Prevea360 Setting Facility Modifier None Typical Low $371.54 Median $1,380.38 Typical High $1,621.81 | Facility | None | $371.54 | $1,380.38 | $1,621.81 |
Prevea360 Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,380.38 | Professional | None | $794.33 | $1,148.15 | $1,380.38 |
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $933.25 | Professional | None | $676.08 | $676.08 | $933.25 |
United Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $1,905.46 | Facility | None | $478.63 | $575.44 | $1,905.46 |
United Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $1,202.26 | Professional | None | $478.63 | $870.96 | $1,202.26 |
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 $691.83 Median $691.83 Typical High $1,047.13 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | 53 · Discontinued | $281.84 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | RR · Rental | $69.18 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | UE · Used equipment | $524.81 | $524.81 | $562.34 |
Where Wisconsin sits
The same service costs 2.1 times more in Wisconsin than in Washington, DC. 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· 1st of 51
$1,349
WI $1,349DC $646
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.