How much rates vary
Facilitymedian $661 · 10th to 90th $417 to $1,413Professionalmedian $603 · 10th to 90th $309 to $977
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,288.25 | Professional | None | $467.74 | $467.74 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $741.31 Typical High $1,071.52 | Facility | None | $660.69 | $741.31 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $812.83 | Professional | None | $338.84 | $660.69 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,318.26 Typical High $2,754.23 | Facility | None | $416.87 | $1,318.26 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $1,230.27 | Professional | None | $309.03 | $467.74 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $645.65 Typical High $741.31 | Facility | None | $177.83 | $645.65 | $741.31 |
DeanCare Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $891.25 | Professional | None | $707.95 | $851.14 | $891.25 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $2,951.21 | Facility | None | $323.59 | $645.65 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $831.76 | Professional | None | $275.42 | $389.05 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Network Health Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,122.02 | Professional | None | $467.74 | $602.56 | $1,122.02 |
Prevea360 Setting Facility Modifier None Typical Low $177.83 Median $645.65 Typical High $741.31 | Facility | None | $177.83 | $645.65 | $741.31 |
Prevea360 Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $741.31 | Professional | None | $363.08 | $645.65 | $741.31 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,412.54 | Professional | None | $616.60 | $891.25 | $1,412.54 |
Quartz Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Facility | None | $416.87 | $416.87 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $912.01 | Facility | None | $363.08 | $371.54 | $912.01 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $549.54 | Professional | None | $218.78 | $316.23 | $549.54 |
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 $234.42 Median $234.42 Typical High $645.65 | Professional | 52 · Reduced service | $234.42 | $234.42 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $257.04 | Professional | 53 · Discontinued | $93.33 | $93.33 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $194.98 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $128.82 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $95.50 | Professional | RR · Rental | $33.88 | $33.88 | $95.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | UE · Used equipment | $257.04 | $257.04 | $275.42 |
Where Wisconsin sits
The same service costs 2.9 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· 4th of 51
$603
HI $871DC $302
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.