How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,413 to $6,607Professionalmedian $2,818 · 10th to 90th $1,349 to $4,571
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,981.07 | Professional | None | $3,019.95 | $3,019.95 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $5,011.87 | Facility | None | $3,090.30 | $3,467.37 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $3,090.30 Typical High $3,801.89 | Professional | None | $1,380.38 | $3,090.30 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $6,165.95 Typical High $12,882.50 | Facility | None | $1,412.54 | $6,165.95 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $5,754.40 | Professional | None | $1,047.13 | $1,513.56 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $741.31 Median $3,019.95 Typical High $3,467.37 | Facility | None | $741.31 | $3,019.95 | $3,467.37 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $3,630.78 | Professional | None | $1,737.80 | $3,019.95 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,019.95 Typical High $12,022.64 | Facility | None | $1,258.93 | $3,019.95 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $14,454.40 | Professional | None | $1,348.96 | $1,737.80 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $5,248.07 | Professional | None | $2,187.76 | $2,818.38 | $5,248.07 |
Prevea360 Setting Facility Modifier None Typical Low $741.31 Median $3,019.95 Typical High $3,467.37 | Facility | None | $741.31 | $3,019.95 | $3,467.37 |
Prevea360 Setting Professional Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,737.80 | $3,019.95 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $5,754.40 | Professional | None | $2,511.89 | $4,073.80 | $5,754.40 |
Quartz Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Quartz Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $3,715.35 | Facility | None | $1,348.96 | $1,513.56 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,698.24 | $2,570.40 |
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 $1,513.56 Median $1,513.56 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $794.33 | Professional | 53 · Discontinued | $602.56 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | RR · Rental | $138.04 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | UE · Used equipment | $1,023.29 | $1,023.29 | $1,122.02 |
Where Wisconsin sits
The same service costs 3.2 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· 3rd of 51
$3,020
HI $3,388DE $1,047
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.