How much rates vary
Facilitymedian $372 · 10th to 90th $234 to $1,122Professionalmedian $324 · 10th to 90th $234 to $537
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $1,584.89 | Professional | None | $234.42 | $234.42 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $537.03 | Facility | None | $323.59 | $371.54 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $407.38 | Professional | None | $302.00 | $323.59 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,122.02 Typical High $1,584.89 | Facility | None | $380.19 | $1,122.02 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $616.60 | Professional | None | $281.84 | $407.38 | $616.60 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $389.05 | Facility | None | $120.23 | $316.23 | $389.05 |
DeanCare Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $537.03 | Professional | None | $316.23 | $467.74 | $537.03 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $1,659.59 | Facility | None | $194.98 | $354.81 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $2,570.40 | Professional | None | $269.15 | $380.19 | $2,570.40 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $794.33 | Professional | None | $302.00 | $537.03 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $389.05 | Facility | None | $120.23 | $316.23 | $389.05 |
Prevea360 Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | None | $165.96 | $165.96 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $724.44 | Professional | None | $181.97 | $371.54 | $724.44 |
Quartz Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | None | $281.84 | $281.84 | $380.19 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $489.78 | Professional | None | $190.55 | $288.40 | $489.78 |
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 $114.82 Median $114.82 Typical High $794.33 | Professional | 52 · Reduced service | $114.82 | $114.82 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $323.59 | Professional | 53 · Discontinued | $46.77 | $46.77 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $239.88 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $158.49 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | RR · Rental | $33.11 | $33.11 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $245.47 | $245.47 | $245.47 |
Where Wisconsin sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 22nd of 51
$324
HI $661UT $224
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.