How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,514 to $6,457Professionalmedian $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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,951.21 | $2,951.21 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $5,011.87 | Facility | None | $3,019.95 | $3,467.37 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $3,019.95 Typical High $3,801.89 | Professional | None | $1,479.11 | $3,019.95 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,513.56 | $6,165.95 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $5,754.40 | Professional | None | $1,122.02 | $1,621.81 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $2,951.21 Typical High $3,388.44 | Facility | None | $776.25 | $2,951.21 | $3,388.44 |
DeanCare Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $3,630.78 | Professional | None | $1,698.24 | $2,951.21 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,951.21 Typical High $12,882.50 | Facility | None | $1,348.96 | $2,951.21 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $15,848.93 | Professional | None | $1,380.38 | $1,862.09 | $15,848.93 |
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 $2,137.96 Median $2,754.23 Typical High $5,128.61 | Professional | None | $2,137.96 | $2,754.23 | $5,128.61 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $2,951.21 Typical High $3,388.44 | Facility | None | $776.25 | $2,951.21 | $3,388.44 |
Prevea360 Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $3,235.94 | Professional | None | $1,698.24 | $2,951.21 | $3,235.94 |
Quartz Setting Professional Modifier None Typical Low $2,691.53 Median $3,981.07 Typical High $6,165.95 | Professional | None | $2,691.53 | $3,981.07 | $6,165.95 |
Quartz Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,122.02 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $3,981.07 | Facility | None | $1,621.81 | $1,659.59 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,819.70 | $2,511.89 |
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 $1,479.11 Median $1,479.11 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | 53 · Discontinued | $588.84 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $741.31 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $489.78 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $489.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | RR · Rental | $147.91 | $147.91 | $194.98 |
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 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
$2,951
HI $3,890DE $1,202
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.