How much rates vary
Facilitymedian $1,096 · 10th to 90th $692 to $2,399Professionalmedian $1,023 · 10th to 90th $501 to $1,660
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,071.52 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,819.70 | Facility | None | $1,096.48 | $1,258.93 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $1,096.48 Typical High $1,380.38 | Professional | None | $501.19 | $1,096.48 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,238.72 Typical High $4,570.88 | Facility | None | $691.83 | $2,238.72 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $2,089.30 | Professional | None | $512.86 | $776.25 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $1,071.52 Typical High $1,230.27 | Facility | None | $263.03 | $1,071.52 | $1,230.27 |
DeanCare Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,318.26 | Professional | None | $616.60 | $1,000.00 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,071.52 Typical High $4,466.84 | Facility | None | $457.09 | $1,071.52 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $5,495.41 | Professional | None | $489.78 | $630.96 | $5,495.41 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Network Health Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,862.09 | Professional | None | $776.25 | $1,000.00 | $1,862.09 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $1,071.52 Typical High $1,230.27 | Facility | None | $263.03 | $1,071.52 | $1,230.27 |
Prevea360 Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,071.52 | Professional | None | $616.60 | $1,000.00 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,089.30 | Professional | None | $912.01 | $1,445.44 | $2,089.30 |
Quartz Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Facility | None | $691.83 | $691.83 | $724.44 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
United Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $1,348.96 | Facility | None | $398.11 | $501.19 | $1,348.96 |
United Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $912.01 | Professional | None | $354.81 | $616.60 | $912.01 |
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 $537.03 Median $537.03 Typical High $1,230.27 | Professional | 52 · Reduced service | $537.03 | $537.03 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $501.19 | Professional | 53 · Discontinued | $213.80 | $213.80 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $371.54 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $245.47 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $245.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $141.25 | Professional | RR · Rental | $50.12 | $50.12 | $141.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | UE · Used equipment | $380.19 | $380.19 | $407.38 |
Where Wisconsin sits
The same service costs 2.4 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· 2nd of 51
$1,072
HI $1,122DC $468
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.