How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,692 to $8,710Professionalmedian $3,715 · 10th to 90th $1,950 to $6,026
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $6,309.57 | Professional | None | $3,981.07 | $3,981.07 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $6,606.93 | Facility | None | $4,073.80 | $4,570.88 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $4,073.80 Typical High $5,011.87 | Professional | None | $1,995.26 | $4,073.80 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $8,128.31 Typical High $16,982.44 | Facility | None | $2,691.53 | $8,128.31 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $7,585.78 | Professional | None | $1,949.84 | $2,884.03 | $7,585.78 |
DeanCare Setting Facility Modifier None Typical Low $1,047.13 Median $3,981.07 Typical High $4,570.88 | Facility | None | $1,047.13 | $3,981.07 | $4,570.88 |
DeanCare Setting Professional Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $4,786.30 | Professional | None | $2,238.72 | $3,981.07 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $17,378.01 | Facility | None | $1,819.70 | $3,981.07 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $20,892.96 | Professional | None | $1,819.70 | $2,511.89 | $20,892.96 |
Network Health Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Network Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $6,918.31 | Professional | None | $2,884.03 | $3,715.35 | $6,918.31 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $3,981.07 Typical High $4,570.88 | Facility | None | $1,047.13 | $3,981.07 | $4,570.88 |
Prevea360 Setting Professional Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $4,365.16 | Professional | None | $2,238.72 | $3,981.07 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $8,317.64 | Professional | None | $3,630.78 | $5,370.32 | $8,317.64 |
Quartz Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $5,370.32 | Facility | None | $1,862.09 | $2,187.76 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $3,388.44 | Professional | None | $1,348.96 | $2,454.71 | $3,388.44 |
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 $1,995.26 Median $1,995.26 Typical High $3,162.28 | Professional | 52 · Reduced service | $1,995.26 | $1,995.26 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $1,258.93 | Professional | 53 · Discontinued | $794.33 | $794.33 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $954.99 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | 56 · Pre-op care only | $398.11 | $398.11 | $630.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | RR · Rental | $199.53 | $199.53 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | UE · Used equipment | $1,513.56 | $1,513.56 | $1,621.81 |
Where Wisconsin sits
The same service costs 2.9 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
$3,981
HI $5,012DC $1,738
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.