How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,455 to $8,318Professionalmedian $3,715 · 10th to 90th $1,778 to $5,888
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $6,025.60 | Professional | None | $3,801.89 | $3,801.89 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $4,466.84 Typical High $6,456.54 | Facility | None | $3,890.45 | $4,466.84 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $4,897.79 | Professional | None | $2,089.30 | $3,890.45 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $7,943.28 Typical High $16,218.10 | Facility | None | $2,454.71 | $7,943.28 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $7,413.10 | Professional | None | $1,778.28 | $2,754.23 | $7,413.10 |
DeanCare Setting Facility Modifier None Typical Low $1,096.48 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,096.48 | $3,801.89 | $4,365.16 |
DeanCare Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $4,677.35 | Professional | None | $2,187.76 | $3,715.35 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $17,782.79 | Facility | None | $1,905.46 | $3,801.89 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $19,054.61 | Professional | None | $1,778.28 | $2,570.40 | $19,054.61 |
Network Health Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Network Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $6,606.93 | Professional | None | $2,754.23 | $3,548.13 | $6,606.93 |
Prevea360 Setting Facility Modifier None Typical Low $1,096.48 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,096.48 | $3,801.89 | $4,365.16 |
Prevea360 Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $3,801.89 | Professional | None | $2,187.76 | $3,715.35 | $3,801.89 |
Quartz Setting Professional Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $8,709.64 | Professional | None | $3,715.35 | $5,370.32 | $8,709.64 |
Quartz Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $3,235.94 | Professional | None | $1,412.54 | $2,454.71 | $3,235.94 |
4 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 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $891.25 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $602.56 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $602.56 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $575.44 | Professional | RR · Rental | $208.93 | $208.93 | $575.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,659.59 |
Where Wisconsin sits
The same service costs 2.3 times more in Montana 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· 6th of 51
$3,802
MT $4,074DE $1,778
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.