How much rates vary
Facilitymedian $708 · 10th to 90th $389 to $1,622Professionalmedian $661 · 10th to 90th $288 to $1,072
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,698.24 | Professional | None | $501.19 | $501.19 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,174.90 | Facility | None | $707.95 | $812.83 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $891.25 | Professional | None | $380.19 | $707.95 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $2,951.21 | Facility | None | $389.05 | $1,445.44 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $1,348.96 | Professional | None | $281.84 | $416.87 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $691.83 Typical High $794.33 | Facility | None | $199.53 | $691.83 | $794.33 |
DeanCare Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $891.25 | Professional | None | $691.83 | $851.14 | $891.25 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $3,235.94 | Facility | None | $346.74 | $691.83 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $891.25 | Professional | None | $309.03 | $436.52 | $891.25 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Network Health Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,202.26 | Professional | None | $501.19 | $645.65 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $691.83 Typical High $794.33 | Facility | None | $199.53 | $691.83 | $794.33 |
Prevea360 Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $691.83 | Professional | None | $398.11 | $676.08 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,584.89 | Professional | None | $691.83 | $977.24 | $1,584.89 |
Quartz Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $588.84 | Professional | None | $239.88 | $346.74 | $588.84 |
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 $251.19 Median $251.19 Typical High $851.14 | Professional | 52 · Reduced service | $251.19 | $251.19 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $338.84 | Professional | 53 · Discontinued | $102.33 | $102.33 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $251.19 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $169.82 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $104.71 | Professional | RR · Rental | $38.02 | $38.02 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | UE · Used equipment | $281.84 | $281.84 | $302.00 |
Where Wisconsin sits
The same service costs 2.5 times more in Iowa than in Delaware. 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· 9th of 51
$661
IA $708DE $282
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.