How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,778 to $7,079Professionalmedian $3,020 · 10th to 90th $1,479 to $4,677
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,677.35 | Professional | None | $3,235.94 | $3,235.94 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $5,370.32 | Facility | None | $3,311.31 | $3,715.35 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $3,311.31 Typical High $4,073.80 | Professional | None | $1,479.11 | $3,311.31 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,606.93 Typical High $13,803.84 | Facility | None | $1,778.28 | $6,606.93 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $6,165.95 | Professional | None | $1,318.26 | $1,905.46 | $6,165.95 |
DeanCare Setting Facility Modifier None Typical Low $794.33 Median $3,235.94 Typical High $3,715.35 | Facility | None | $794.33 | $3,235.94 | $3,715.35 |
DeanCare Setting Professional Modifier None Typical Low $3,235.94 Median $4,073.80 Typical High $4,265.80 | Professional | None | $3,235.94 | $4,073.80 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,235.94 Typical High $13,182.57 | Facility | None | $1,380.38 | $3,235.94 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $15,848.93 | Professional | None | $1,479.11 | $1,862.09 | $15,848.93 |
Network Health Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Network Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $5,623.41 | Professional | None | $2,344.23 | $3,019.95 | $5,623.41 |
Prevea360 Setting Facility Modifier None Typical Low $794.33 Median $3,235.94 Typical High $3,715.35 | Facility | None | $794.33 | $3,235.94 | $3,715.35 |
Prevea360 Setting Professional Modifier None Typical Low $1,819.70 Median $3,235.94 Typical High $3,235.94 | Professional | None | $1,819.70 | $3,235.94 | $3,235.94 |
Quartz Setting Professional Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $6,165.95 | Professional | None | $2,691.53 | $4,365.16 | $6,165.95 |
Quartz Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,981.07 | Facility | None | $1,445.44 | $1,621.81 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,071.52 | $1,862.09 | $2,754.23 |
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 $1,621.81 Median $1,621.81 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | 53 · Discontinued | $645.65 | $645.65 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | 55 · Aftercare only | $478.63 | $478.63 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | RR · Rental | $147.91 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,202.26 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii 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· 3rd of 51
$3,236
HI $3,715DC $1,318
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.