How much rates vary
Facilitymedian $708 · 10th to 90th $437 to $1,549Professionalmedian $661 · 10th to 90th $316 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 $1,949.84 | Professional | None | $501.19 | $501.19 | $1,949.84 |
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 $389.05 Median $707.95 Typical High $891.25 | Professional | None | $389.05 | $707.95 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,380.38 Typical High $2,951.21 | Facility | None | $436.52 | $1,380.38 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $1,348.96 | Professional | None | $316.23 | $467.74 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $794.33 | Facility | None | $346.74 | $691.83 | $794.33 |
DeanCare Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $851.14 | Professional | None | $676.08 | $758.58 | $851.14 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $3,235.94 | Facility | None | $436.52 | $691.83 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $3,467.37 | Professional | None | $323.59 | $457.09 | $3,467.37 |
Network Health Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,737.80 | Professional | None | $616.60 | $870.96 | $1,737.80 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $794.33 | Facility | None | $346.74 | $691.83 | $794.33 |
Prevea360 Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | None | $676.08 | $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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
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 $616.60 | Professional | None | $239.88 | $346.74 | $616.60 |
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 $977.24 | Professional | 52 · Reduced service | $251.19 | $251.19 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $389.05 | Professional | 53 · Discontinued | $102.33 | $102.33 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $295.12 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $194.98 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | RR · Rental | $38.90 | $38.90 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | UE · Used equipment | $295.12 | $295.12 | $316.23 |
Where Wisconsin sits
The same service costs 2.3 times more in Montana 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
MT $741DE $316
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.