How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,259 to $4,266Professionalmedian $1,950 · 10th to 90th $912 to $2,951
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,949.84 | $1,949.84 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,235.94 | Facility | None | $1,995.26 | $2,238.72 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,995.26 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $8,317.64 | Facility | None | $1,258.93 | $3,981.07 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $3,715.35 | Professional | None | $912.01 | $1,348.96 | $3,715.35 |
DeanCare Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $2,238.72 | Facility | None | $630.96 | $1,949.84 | $2,238.72 |
DeanCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,949.84 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $9,332.54 | Facility | None | $977.24 | $1,949.84 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $12,882.50 | Professional | None | $912.01 | $1,380.38 | $12,882.50 |
Network Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Network Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,412.54 | $1,819.70 | $3,388.44 |
Prevea360 Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $2,238.72 | Facility | None | $630.96 | $1,949.84 | $2,238.72 |
Prevea360 Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,122.02 | $1,949.84 |
Quartz Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $4,897.79 | Professional | None | $1,995.26 | $2,951.21 | $4,897.79 |
Quartz Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Facility | None | $1,258.93 | $1,258.93 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None | $912.01 | $912.01 | $1,258.93 |
United Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $3,162.28 | Facility | None | $691.83 | $977.24 | $3,162.28 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,698.24 | Professional | None | $812.83 | $1,288.25 | $1,698.24 |
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 $977.24 Median $977.24 Typical High $1,621.81 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | 53 · Discontinued | $389.05 | $389.05 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $323.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | RR · Rental | $117.49 | $117.49 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | UE · Used equipment | $891.25 | $891.25 | $954.99 |
Where Wisconsin sits
The same service costs 2.5 times more in Arkansas 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
$1,950
AR $2,239DE $912
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.