How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,318 to $4,571Professionalmedian $1,950 · 10th to 90th $977 to $3,162
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,235.94 | Professional | None | $2,041.74 | $2,041.74 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,467.37 | Facility | None | $2,089.30 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,000.00 | $2,089.30 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $4,265.80 Typical High $8,709.64 | Facility | None | $1,318.26 | $4,265.80 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $3,981.07 | Professional | None | $977.24 | $1,412.54 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $537.03 Median $2,041.74 Typical High $2,344.23 | Facility | None | $537.03 | $2,041.74 | $2,344.23 |
DeanCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,862.09 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,041.74 Typical High $8,511.38 | Facility | None | $912.01 | $2,041.74 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $10,964.78 | Professional | None | $954.99 | $1,258.93 | $10,964.78 |
Network Health Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Network Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,479.11 | $1,905.46 | $3,548.13 |
Prevea360 Setting Facility Modifier None Typical Low $537.03 Median $2,041.74 Typical High $2,344.23 | Facility | None | $537.03 | $2,041.74 | $2,344.23 |
Prevea360 Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,659.59 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $4,168.69 | Professional | None | $1,819.70 | $2,754.23 | $4,168.69 |
Quartz Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Facility | None | $1,318.26 | $1,318.26 | $1,380.38 |
Quartz Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,691.53 | Facility | None | $645.65 | $831.76 | $2,691.53 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,737.80 | Professional | None | $691.83 | $1,230.27 | $1,737.80 |
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 $1,023.29 Median $1,023.29 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $645.65 | Professional | 53 · Discontinued | $407.38 | $407.38 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $489.78 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $323.59 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | RR · Rental | $100.00 | $100.00 | $131.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $812.83 | Professional | UE · Used equipment | $758.58 | $758.58 | $812.83 |
Where Wisconsin sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 4th of 51
$2,042
MT $2,239PA $891
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.