How much rates vary
Facilitymedian $759 · 10th to 90th $380 to $1,660Professionalmedian $676 · 10th to 90th $288 to $1,148
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,862.09 | Professional | None | $537.03 | $537.03 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,258.93 | Facility | None | $758.58 | $870.96 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $758.58 Typical High $933.25 | Professional | None | $354.81 | $758.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,548.82 Typical High $1,862.09 | Facility | None | $380.19 | $1,548.82 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $1,445.44 | Professional | None | $275.42 | $549.54 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $186.21 Median $741.31 Typical High $851.14 | Facility | None | $186.21 | $741.31 | $851.14 |
DeanCare Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,023.29 | Professional | None | $776.25 | $954.99 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $3,090.30 | Facility | None | $371.54 | $741.31 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $977.24 | Professional | None | $288.40 | $446.68 | $977.24 |
Network Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Network Health Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,288.25 | Professional | None | $537.03 | $691.83 | $1,288.25 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $741.31 Typical High $851.14 | Facility | None | $186.21 | $741.31 | $851.14 |
Prevea360 Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $776.25 | Professional | None | $426.58 | $741.31 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,479.11 | Professional | None | $645.65 | $1,000.00 | $1,479.11 |
Quartz Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $616.60 | Professional | None | $275.42 | $275.42 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $691.83 | Professional | None | $588.84 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $954.99 | Facility | None | $389.05 | $467.74 | $954.99 |
United Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $630.96 | Professional | None | $245.47 | $371.54 | $630.96 |
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 $269.15 Median $269.15 Typical High $933.25 | Professional | 52 · Reduced service | $269.15 | $269.15 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $371.54 | Professional | 53 · Discontinued | $109.65 | $109.65 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $275.42 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $186.21 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $186.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $309.03 | Professional | RR · Rental | $35.48 | $35.48 | $309.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $309.03 Typical High $363.08 | Professional | UE · Used equipment | $263.03 | $309.03 | $363.08 |
Where Wisconsin sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$708
HI $1,023FL $275
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.