How much rates vary
Facilitymedian $229 · 10th to 90th $162 to $708Professionalmedian $229 · 10th to 90th $158 to $380
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $851.14 | Professional | None | $162.18 | $162.18 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $380.19 | Facility | None | $229.09 | $263.03 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $288.40 | Professional | None | $204.17 | $229.09 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $707.95 Typical High $954.99 | Facility | None | $213.80 | $707.95 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $426.58 | Professional | None | $158.49 | $239.88 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $269.15 | Facility | None | $104.71 | $223.87 | $269.15 |
DeanCare Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $363.08 | Professional | None | $245.47 | $354.81 | $363.08 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $1,096.48 | Facility | None | $128.82 | $234.42 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $416.87 | Professional | None | $154.88 | $204.17 | $416.87 |
Network Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Network Health Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $457.09 | Professional | None | $213.80 | $269.15 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $269.15 | Facility | None | $104.71 | $223.87 | $269.15 |
Prevea360 Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $223.87 | Professional | None | $194.98 | $199.53 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $549.54 | Professional | None | $218.78 | $346.74 | $549.54 |
Quartz Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Facility | None | $213.80 | $213.80 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | None | $275.42 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $489.78 | Facility | None | $213.80 | $234.42 | $489.78 |
United Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $295.12 | Professional | None | $114.82 | $177.83 | $295.12 |
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 $81.28 Median $81.28 Typical High $426.58 | Professional | 52 · Reduced service | $81.28 | $81.28 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | 53 · Discontinued | $33.11 | $33.11 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $128.82 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $85.11 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | RR · Rental | $19.95 | $19.95 | $21.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | UE · Used equipment | $125.89 | $147.91 | $147.91 |
Where Wisconsin sits
The same service costs 2.9 times more in Hawaii than in Utah. 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
$229
HI $437UT $151
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.