How much rates vary
Facilitymedian $214 · 10th to 90th $135 to $676Professionalmedian $191 · 10th to 90th $135 to $309
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $831.76 | Professional | None | $134.90 | $134.90 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $309.03 | Facility | None | $190.55 | $213.80 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $245.47 | Professional | None | $177.83 | $190.55 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $676.08 Typical High $912.01 | Facility | None | $213.80 | $676.08 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $354.81 | Professional | None | $154.88 | $229.09 | $354.81 |
DeanCare Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $223.87 | Facility | None | $69.18 | $186.21 | $223.87 |
DeanCare Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $316.23 | Professional | None | $186.21 | $275.42 | $316.23 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $933.25 | Facility | None | $114.82 | $204.17 | $933.25 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $1,445.44 | Professional | None | $162.18 | $229.09 | $1,445.44 |
Network Health Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $457.09 | Professional | None | $173.78 | $323.59 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $223.87 | Facility | None | $69.18 | $186.21 | $223.87 |
Prevea360 Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | None | $95.50 | $95.50 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $426.58 | Professional | None | $104.71 | $213.80 | $426.58 |
Quartz Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $295.12 | Professional | None | $114.82 | $173.78 | $295.12 |
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 $67.61 Median $67.61 Typical High $416.87 | Professional | 52 · Reduced service | $67.61 | $67.61 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $165.96 | Professional | 53 · Discontinued | $26.92 | $26.92 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $125.89 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $83.18 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $83.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | RR · Rental | $19.50 | $19.50 | $20.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $144.54 | $144.54 | $144.54 |
Where Wisconsin sits
The same service costs 2.6 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· 24th of 51
$191
HI $347UT $132
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.