How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,738 to $6,026Professionalmedian $2,570 · 10th to 90th $1,288 to $4,169
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,691.53 | $2,691.53 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $4,570.88 | Facility | None | $2,754.23 | $3,162.28 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $3,548.13 | Professional | None | $1,380.38 | $2,754.23 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $5,623.41 Typical High $11,481.54 | Facility | None | $1,737.80 | $5,623.41 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $5,248.07 | Professional | None | $1,288.25 | $1,862.09 | $5,248.07 |
DeanCare Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $3,090.30 | Facility | None | $724.44 | $2,691.53 | $3,090.30 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,548.82 | $2,454.71 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,691.53 Typical High $11,748.98 | Facility | None | $1,258.93 | $2,691.53 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $12,882.50 | Professional | None | $1,258.93 | $1,737.80 | $12,882.50 |
Network Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Network Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $4,677.35 | Professional | None | $1,949.84 | $2,511.89 | $4,677.35 |
Prevea360 Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $3,090.30 | Facility | None | $724.44 | $2,691.53 | $3,090.30 |
Prevea360 Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $2,691.53 | Professional | None | $1,548.82 | $2,290.87 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $5,754.40 | Professional | None | $2,511.89 | $3,630.78 | $5,754.40 |
Quartz Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $3,715.35 | Facility | None | $977.24 | $1,148.15 | $3,715.35 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,290.87 | Professional | None | $933.25 | $1,659.59 | $2,290.87 |
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 $1,348.96 Median $1,348.96 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $776.25 | Professional | 53 · Discontinued | $537.03 | $537.03 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $588.84 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $389.05 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | RR · Rental | $138.04 | $138.04 | $177.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,122.02 |
Where Wisconsin sits
The same service costs 2.1 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· 2nd of 51
$2,692
MT $2,692PA $1,259
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.