How much rates vary
Facilitymedian $871 · 10th to 90th $562 to $3,090Professionalmedian $776 · 10th to 90th $562 to $1,349
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $3,162.28 | Professional | None | $562.34 | $562.34 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,288.25 | Facility | None | $776.25 | $891.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,047.13 | Professional | None | $724.44 | $776.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,090.30 Typical High $3,801.89 | Facility | None | $812.83 | $3,090.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $954.99 Typical High $1,479.11 | Professional | None | $588.84 | $954.99 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $288.40 Median $758.58 Typical High $933.25 | Facility | None | $288.40 | $758.58 | $933.25 |
DeanCare Setting Professional Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,412.54 | Professional | None | $758.58 | $1,202.26 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $3,890.45 | Facility | None | $489.78 | $870.96 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $6,456.54 | Professional | None | $691.83 | $1,000.00 | $6,456.54 |
Network Health Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $2,089.30 | Professional | None | $724.44 | $1,348.96 | $2,089.30 |
Prevea360 Setting Facility Modifier None Typical Low $288.40 Median $758.58 Typical High $933.25 | Facility | None | $288.40 | $758.58 | $933.25 |
Prevea360 Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $758.58 | Professional | None | $398.11 | $398.11 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $436.52 Median $891.25 Typical High $1,905.46 | Professional | None | $436.52 | $891.25 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $954.99 | Professional | None | $588.84 | $588.84 | $954.99 |
The Alliance Setting Professional Modifier None Typical Low $501.19 Median $812.83 Typical High $2,691.53 | Professional | None | $501.19 | $812.83 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,348.96 | Professional | None | $524.81 | $776.25 | $1,348.96 |
8 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 $275.42 Median $275.42 Typical High $1,584.89 | Professional | 52 · Reduced service | $275.42 | $275.42 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $630.96 | Professional | 53 · Discontinued | $112.20 | $112.20 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $467.74 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | RR · Rental | $74.13 | $74.13 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | RR · Rental | $69.18 | $69.18 | $138.04 |
Quartz Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
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· 22nd of 51
$776
HI $1,445UT $550
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.