How much rates vary
Facilitymedian $851 · 10th to 90th $457 to $1,950Professionalmedian $794 · 10th to 90th $339 to $1,288
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $2,398.83 | Professional | None | $436.52 | $602.56 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,412.54 | Facility | None | $851.14 | $954.99 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $851.14 Typical High $1,096.48 | Professional | None | $338.84 | $851.14 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,698.24 Typical High $3,548.13 | Facility | None | $457.09 | $1,698.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $1,584.89 | Professional | None | $338.84 | $512.86 | $1,584.89 |
DeanCare Setting Facility Modifier None Typical Low $218.78 Median $831.76 Typical High $954.99 | Facility | None | $218.78 | $831.76 | $954.99 |
DeanCare Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,122.02 | Professional | None | $831.76 | $1,071.52 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $831.76 Typical High $3,801.89 | Facility | None | $380.19 | $831.76 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $1,071.52 | Professional | None | $316.23 | $501.19 | $1,071.52 |
Network Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Network Health Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,445.44 | Professional | None | $602.56 | $776.25 | $1,445.44 |
Prevea360 Setting Facility Modifier None Typical Low $218.78 Median $831.76 Typical High $954.99 | Facility | None | $218.78 | $831.76 | $954.99 |
Prevea360 Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $831.76 | Professional | None | $478.63 | $812.83 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,737.80 | Professional | None | $758.58 | $1,174.90 | $1,737.80 |
Quartz Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $512.86 | Facility | None | $457.09 | $457.09 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None | $338.84 | $338.84 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | None | $660.69 | $776.25 | $776.25 |
The Alliance Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,698.24 | Professional | None | $660.69 | $1,023.29 | $1,698.24 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,122.02 | Facility | None | $407.38 | $407.38 | $1,122.02 |
United Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $707.95 | Professional | None | $275.42 | $416.87 | $707.95 |
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 $302.00 Median $302.00 Typical High $1,412.54 | Professional | 52 · Reduced service | $302.00 | $302.00 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $562.34 | Professional | 53 · Discontinued | $120.23 | $120.23 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $426.58 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $281.84 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | RR · Rental | $33.11 | $33.11 | $56.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | UE · Used equipment | $199.53 | $199.53 | $257.04 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 2nd of 51
$794
HI $871NH $339
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.