How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,754 to $10,233Professionalmedian $4,365 · 10th to 90th $2,188 to $7,079
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,570.88 Typical High $7,585.78 | Professional | None | $4,265.80 | $4,570.88 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,370.32 Typical High $7,762.47 | Facility | None | $4,677.35 | $5,370.32 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $5,754.40 | Professional | None | $2,691.53 | $4,677.35 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $9,549.93 Typical High $19,498.45 | Facility | None | $2,754.23 | $9,549.93 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $8,912.51 | Professional | None | $2,041.74 | $3,090.30 | $8,912.51 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $4,570.88 Typical High $5,248.07 | Facility | None | $1,445.44 | $4,570.88 | $5,248.07 |
DeanCare Setting Professional Modifier None Typical Low $5,011.87 Median $6,760.83 Typical High $7,079.46 | Professional | None | $5,011.87 | $6,760.83 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $4,570.88 Typical High $23,442.29 | Facility | None | $2,290.87 | $4,570.88 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $29,512.09 | Professional | None | $2,137.96 | $3,311.31 | $29,512.09 |
Network Health Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Network Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $7,943.28 | Professional | None | $3,311.31 | $4,265.80 | $7,943.28 |
Prevea360 Setting Facility Modifier None Typical Low $1,445.44 Median $4,570.88 Typical High $5,248.07 | Facility | None | $1,445.44 | $4,570.88 | $5,248.07 |
Prevea360 Setting Professional Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $5,011.87 | Professional | None | $2,630.27 | $4,570.88 | $5,011.87 |
Quartz Setting Professional Modifier None Typical Low $4,677.35 Median $7,079.46 Typical High $11,220.18 | Professional | None | $4,677.35 | $7,079.46 | $11,220.18 |
Quartz Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,090.30 | Facility | None | $2,754.23 | $2,754.23 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Security Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $4,073.80 | Professional | None | $1,862.09 | $3,019.95 | $4,073.80 |
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 $2,290.87 Median $2,290.87 Typical High $3,981.07 | Professional | 52 · Reduced service | $2,290.87 | $2,290.87 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $1,621.81 | Professional | 53 · Discontinued | $912.01 | $912.01 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $691.83 Typical High $1,202.26 | Professional | 55 · Aftercare only | $691.83 | $691.83 | $1,202.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $794.33 | Professional | 56 · Pre-op care only | $457.09 | $457.09 | $794.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | RR · Rental | $269.15 | $269.15 | $354.81 |
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 2.8 times more in Wyoming 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· 9th of 51
$4,571
WY $5,754DE $2,042
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.