How much rates vary
Facilitymedian $1,023 · 10th to 90th $661 to $2,754Professionalmedian $955 · 10th to 90th $468 to $1,514
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,000.00 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,698.24 | Facility | None | $1,023.29 | $1,122.02 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $1,023.29 Typical High $1,288.25 | Professional | None | $457.09 | $1,023.29 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,754.23 Typical High $4,265.80 | Facility | None | $660.69 | $2,754.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,949.84 | Professional | None | $562.34 | $707.95 | $1,949.84 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $1,000.00 Typical High $1,148.15 | Facility | None | $239.88 | $1,000.00 | $1,148.15 |
DeanCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,258.93 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $1,000.00 Typical High $3,890.45 | Facility | None | $416.87 | $1,000.00 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $5,011.87 | Professional | None | $446.68 | $575.44 | $5,011.87 |
Network Health Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,737.80 | Professional | None | $724.44 | $933.25 | $1,737.80 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $1,000.00 Typical High $1,148.15 | Facility | None | $239.88 | $1,000.00 | $1,148.15 |
Prevea360 Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,000.00 | Professional | None | $575.44 | $812.83 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,348.96 Typical High $1,905.46 | Professional | None | $831.76 | $1,348.96 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None | $562.34 | $562.34 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $933.25 | Professional | None | $794.33 | $933.25 | $933.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $851.14 | Professional | None | $331.13 | $562.34 | $851.14 |
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 $501.19 Median $501.19 Typical High $1,202.26 | Professional | 52 · Reduced service | $501.19 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $478.63 | Professional | 53 · Discontinued | $199.53 | $199.53 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $363.08 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $239.88 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | RR · Rental | $45.71 | $45.71 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | UE · Used equipment | $338.84 | $338.84 | $371.54 |
Where Wisconsin sits
The same service costs 2.5 times more in Montana 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· 3rd of 51
$1,000
MT $1,047DC $417
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.