How much rates vary
Facilitymedian $575 · 10th to 90th $316 to $1,318Professionalmedian $537 · 10th to 90th $229 to $871
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $1,096.48 | Professional | None | $323.59 | $416.87 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $660.69 Typical High $954.99 | Facility | None | $575.44 | $660.69 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $575.44 Typical High $724.44 | Professional | None | $234.42 | $575.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $1,174.90 Typical High $2,398.83 | Facility | None | $316.23 | $1,174.90 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $1,096.48 | Professional | None | $229.09 | $346.74 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $562.34 Typical High $645.65 | Facility | None | $162.18 | $562.34 | $645.65 |
DeanCare Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $794.33 | Professional | None | $562.34 | $758.58 | $794.33 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $2,630.27 | Facility | None | $281.84 | $562.34 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $741.31 | Professional | None | $251.19 | $363.08 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Network Health Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $977.24 | Professional | None | $407.38 | $537.03 | $977.24 |
Prevea360 Setting Facility Modifier None Typical Low $162.18 Median $562.34 Typical High $645.65 | Facility | None | $162.18 | $562.34 | $645.65 |
Prevea360 Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $562.34 | Professional | None | $323.59 | $549.54 | $562.34 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,288.25 | Professional | None | $562.34 | $812.83 | $1,288.25 |
Quartz Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | None | $446.68 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $489.78 | Professional | None | $194.98 | $281.84 | $489.78 |
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 $204.17 Median $204.17 Typical High $645.65 | Professional | 52 · Reduced service | $204.17 | $204.17 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $257.04 | Professional | 53 · Discontinued | $83.18 | $83.18 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $194.98 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $128.82 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | RR · Rental | $22.91 | $22.91 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | UE · Used equipment | $199.53 | $199.53 | $229.09 |
Where Wisconsin sits
The same service costs 2.6 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· 8th of 51
$537
MT $589DE $229
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.