How much rates vary
Facilitymedian $302 · 10th to 90th $191 to $661Professionalmedian $282 · 10th to 90th $138 to $457
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $724.44 | Professional | None | $218.78 | $218.78 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $501.19 | Facility | None | $302.00 | $346.74 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $302.00 Typical High $380.19 | Professional | None | $162.18 | $302.00 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $1,258.93 | Facility | None | $190.55 | $616.60 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $575.44 | Professional | None | $138.04 | $213.80 | $575.44 |
DeanCare Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $338.84 | Facility | None | $83.18 | $295.12 | $338.84 |
DeanCare Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $446.68 | Professional | None | $302.00 | $426.58 | $446.68 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $1,348.96 | Facility | None | $151.36 | $295.12 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $389.05 | Professional | None | $125.89 | $177.83 | $389.05 |
Network Health Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Network Health Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $524.81 | Professional | None | $213.80 | $281.84 | $524.81 |
Prevea360 Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $338.84 | Facility | None | $83.18 | $295.12 | $338.84 |
Prevea360 Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $302.00 | Professional | None | $169.82 | $295.12 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $660.69 | Professional | None | $288.40 | $416.87 | $660.69 |
Quartz Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
Security Health Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | None | $239.88 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $426.58 | Facility | None | $147.91 | $151.36 | $426.58 |
United Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $257.04 | Professional | None | $102.33 | $147.91 | $257.04 |
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 $109.65 Median $109.65 Typical High $363.08 | Professional | 52 · Reduced service | $109.65 | $109.65 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $144.54 | Professional | 53 · Discontinued | $43.65 | $43.65 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $109.65 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $72.44 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | RR · Rental | $15.85 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | UE · Used equipment | $117.49 | $117.49 | $128.82 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii than in New Jersey. 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· 6th of 51
$282
HI $324NJ $138
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.