How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,778 to $7,943Professionalmedian $3,467 · 10th to 90th $1,698 to $5,623
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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $5,495.41 | Professional | None | $3,630.78 | $3,630.78 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $4,265.80 Typical High $6,165.95 | Facility | None | $3,715.35 | $4,265.80 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $3,715.35 Typical High $4,677.35 | Professional | None | $1,737.80 | $3,715.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $7,585.78 Typical High $15,488.17 | Facility | None | $1,778.28 | $7,585.78 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $7,079.46 | Professional | None | $1,288.25 | $1,905.46 | $7,079.46 |
DeanCare Setting Facility Modifier None Typical Low $912.01 Median $3,630.78 Typical High $4,168.69 | Facility | None | $912.01 | $3,630.78 | $4,168.69 |
DeanCare Setting Professional Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $4,466.84 | Professional | None | $2,089.30 | $3,630.78 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,630.78 Typical High $15,135.61 | Facility | None | $1,584.89 | $3,630.78 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $17,782.79 | Professional | None | $1,698.24 | $2,187.76 | $17,782.79 |
Network Health Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Network Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $6,309.57 | Professional | None | $2,630.27 | $3,388.44 | $6,309.57 |
Prevea360 Setting Facility Modifier None Typical Low $912.01 Median $3,630.78 Typical High $4,168.69 | Facility | None | $912.01 | $3,630.78 | $4,168.69 |
Prevea360 Setting Professional Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $3,715.35 | Professional | None | $2,089.30 | $3,630.78 | $3,715.35 |
Quartz Setting Professional Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $7,244.36 | Professional | None | $3,162.28 | $4,897.79 | $7,244.36 |
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 $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $4,677.35 | Facility | None | $1,621.81 | $1,862.09 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,090.30 | Professional | None | $1,202.26 | $2,137.96 | $3,090.30 |
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 $1,819.70 Median $1,819.70 Typical High $2,754.23 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $1,096.48 | Professional | 53 · Discontinued | $724.44 | $724.44 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $831.76 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $363.08 Typical High $549.54 | Professional | 56 · Pre-op care only | $363.08 | $363.08 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | RR · Rental | $173.78 | $173.78 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,412.54 |
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
$3,631
HI $4,169DE $1,288
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.