How much rates vary
Facilitymedian $708 · 10th to 90th $479 to $2,138Professionalmedian $676 · 10th to 90th $468 to $1,175
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $2,238.72 | Professional | None | $478.63 | $478.63 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,122.02 | Facility | None | $676.08 | $758.58 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $912.01 | Professional | None | $630.96 | $676.08 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $2,754.23 | Facility | None | $630.96 | $2,137.96 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,258.93 | Professional | None | $467.74 | $707.95 | $1,258.93 |
DeanCare Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $794.33 | Facility | None | $389.05 | $660.69 | $794.33 |
DeanCare Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $977.24 | Professional | None | $588.84 | $724.44 | $977.24 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $3,162.28 | Facility | None | $426.58 | $660.69 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $4,466.84 | Professional | None | $512.86 | $724.44 | $4,466.84 |
Network Health Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,621.81 | Professional | None | $616.60 | $1,023.29 | $1,621.81 |
Prevea360 Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $794.33 | Facility | None | $389.05 | $660.69 | $794.33 |
Prevea360 Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | None | $588.84 | $588.84 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,698.24 | Professional | None | $645.65 | $1,000.00 | $1,698.24 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $707.95 | Professional | None | $467.74 | $467.74 | $707.95 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $933.25 | Professional | None | $363.08 | $537.03 | $933.25 |
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 $239.88 Median $239.88 Typical High $1,122.02 | Professional | 52 · Reduced service | $239.88 | $239.88 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $446.68 | Professional | 53 · Discontinued | $95.50 | $95.50 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $331.13 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $223.87 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $223.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $69.18 Typical High $74.13 | Professional | RR · Rental | $58.88 | $69.18 | $74.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | UE · Used equipment | $436.52 | $512.86 | $512.86 |
Where Wisconsin sits
The same service costs 2.2 times more in Kansas 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· 15th of 51
$676
KS $1,000UT $457
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.