How much rates vary
Facilitymedian $891 · 10th to 90th $562 to $1,950Professionalmedian $832 · 10th to 90th $417 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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,570.40 | Professional | None | $645.65 | $645.65 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,479.11 | Facility | None | $891.25 | $1,023.29 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,096.48 | Professional | None | $524.81 | $891.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,819.70 Typical High $3,715.35 | Facility | None | $562.34 | $1,819.70 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $1,698.24 | Professional | None | $416.87 | $602.56 | $1,698.24 |
DeanCare Setting Facility Modifier None Typical Low $281.84 Median $870.96 Typical High $1,000.00 | Facility | None | $281.84 | $870.96 | $1,000.00 |
DeanCare Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,258.93 | Professional | None | $954.99 | $1,202.26 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $870.96 Typical High $4,677.35 | Facility | None | $436.52 | $870.96 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $1,148.15 | Professional | None | $407.38 | $562.34 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Network Health Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,513.56 | Professional | None | $630.96 | $831.76 | $1,513.56 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $870.96 Typical High $1,000.00 | Facility | None | $281.84 | $870.96 | $1,000.00 |
Prevea360 Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,096.48 | Professional | None | $501.19 | $870.96 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $2,238.72 | Professional | None | $891.25 | $1,348.96 | $2,238.72 |
Quartz Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $588.84 | Facility | None | $562.34 | $562.34 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | None | $691.83 | $812.83 | $812.83 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,412.54 | Facility | None | $549.54 | $660.69 | $1,412.54 |
United Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $776.25 | Professional | None | $338.84 | $467.74 | $776.25 |
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 $316.23 Median $316.23 Typical High $1,288.25 | Professional | 52 · Reduced service | $316.23 | $316.23 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $512.86 | Professional | 53 · Discontinued | $128.82 | $128.82 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $389.05 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $257.04 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | RR · Rental | $52.48 | $52.48 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | UE · Used equipment | $398.11 | $398.11 | $426.58 |
Where Wisconsin sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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· 10th of 51
$832
HI $1,230KS $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.