How much rates vary
Facilitymedian $1,000 · 10th to 90th $646 to $2,138Professionalmedian $933 · 10th to 90th $457 to $1,445
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,148.15 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $1,000.00 Typical High $1,258.93 | Professional | None | $457.09 | $1,000.00 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,041.74 Typical High $4,168.69 | Facility | None | $645.65 | $2,041.74 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,905.46 | Professional | None | $467.74 | $691.83 | $1,905.46 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $977.24 Typical High $1,122.02 | Facility | None | $239.88 | $977.24 | $1,122.02 |
DeanCare Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $1,202.26 | Professional | None | $562.34 | $977.24 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $4,073.80 | Facility | None | $416.87 | $977.24 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $4,677.35 | Professional | None | $457.09 | $575.44 | $4,677.35 |
Network Health 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 |
Network Health Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,698.24 | Professional | None | $707.95 | $912.01 | $1,698.24 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $977.24 Typical High $1,122.02 | Facility | None | $239.88 | $977.24 | $1,122.02 |
Prevea360 Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $977.24 | Professional | None | $562.34 | $977.24 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,905.46 | Professional | None | $831.76 | $1,318.26 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $660.69 | Facility | None | $645.65 | $645.65 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | None | $467.74 | $467.74 | $645.65 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,230.27 | Facility | None | $489.78 | $489.78 | $1,230.27 |
United Setting Professional Modifier None Typical Low $323.59 Median $562.34 Typical High $831.76 | Professional | None | $323.59 | $562.34 | $831.76 |
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 $489.78 Median $489.78 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 53 · Discontinued | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | RR · Rental | $45.71 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $346.74 | $371.54 |
Where Wisconsin sits
The same service costs 2.7 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· 5th of 51
$977
HI $1,096DC $407
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.