How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,122 to $3,467Professionalmedian $1,514 · 10th to 90th $813 to $2,455
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,584.89 | $1,584.89 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,862.09 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $1,995.26 | Professional | None | $954.99 | $1,621.81 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,122.02 | $3,311.31 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $3,090.30 | Professional | None | $812.83 | $1,202.26 | $3,090.30 |
DeanCare Setting Facility Modifier None Typical Low $457.09 Median $1,584.89 Typical High $1,819.70 | Facility | None | $457.09 | $1,584.89 | $1,819.70 |
DeanCare Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $1,949.84 | Professional | None | $912.01 | $1,548.82 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $7,413.10 | Facility | None | $794.33 | $1,584.89 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $7,943.28 | Professional | None | $741.31 | $1,071.52 | $7,943.28 |
Network Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Network Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,754.23 | Professional | None | $1,148.15 | $1,479.11 | $2,754.23 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $1,584.89 Typical High $1,819.70 | Facility | None | $457.09 | $1,584.89 | $1,819.70 |
Prevea360 Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $1,584.89 | Professional | None | $912.01 | $1,548.82 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,238.72 | $3,630.78 |
Quartz Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | None | $812.83 | $812.83 | $1,122.02 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $1,348.96 | Professional | None | $588.84 | $1,023.29 | $1,348.96 |
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 $239.88 Median $239.88 Typical High $416.87 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | RR · Rental | $95.50 | $95.50 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | UE · Used equipment | $707.95 | $707.95 | $776.25 |
Where Wisconsin sits
The same service costs 2.1 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
$1,585
MT $1,698DE $813
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.