How much rates vary
Facilitymedian $501 · 10th to 90th $245 to $1,096Professionalmedian $457 · 10th to 90th $195 to $759
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $933.25 | Professional | None | $363.08 | $363.08 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $831.76 | Facility | None | $501.19 | $575.44 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $501.19 Typical High $616.60 | Professional | None | $239.88 | $501.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $1,023.29 Typical High $2,137.96 | Facility | None | $245.47 | $1,023.29 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $954.99 | Professional | None | $177.83 | $275.42 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $575.44 | Facility | None | $125.89 | $489.78 | $575.44 |
DeanCare Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $691.83 | Professional | None | $489.78 | $660.69 | $691.83 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $489.78 Typical High $2,089.30 | Facility | None | $218.78 | $489.78 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $645.65 | Professional | None | $181.97 | $295.12 | $645.65 |
Network Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Network Health Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $870.96 | Professional | None | $354.81 | $467.74 | $870.96 |
Prevea360 Setting Facility Modifier None Typical Low $125.89 Median $489.78 Typical High $575.44 | Facility | None | $125.89 | $489.78 | $575.44 |
Prevea360 Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $489.78 | Professional | None | $281.84 | $407.38 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $1,000.00 | Professional | None | $436.52 | $660.69 | $1,000.00 |
Quartz Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $275.42 | Facility | None | $245.47 | $245.47 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None | $398.11 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $645.65 | Facility | None | $147.91 | $204.17 | $645.65 |
United Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $426.58 | Professional | None | $165.96 | $245.47 | $426.58 |
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 $181.97 Median $181.97 Typical High $467.74 | Professional | 52 · Reduced service | $181.97 | $181.97 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $186.21 | Professional | 53 · Discontinued | $72.44 | $72.44 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $138.04 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $93.33 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $93.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $23.99 Median $23.99 Typical High $234.42 | Professional | RR · Rental | $23.99 | $23.99 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | UE · Used equipment | $181.97 | $181.97 | $234.42 |
Where Wisconsin sits
The same service costs 2.9 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· 3rd of 51
$468
MT $513DE $178
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.