How much rates vary
Facilitymedian $603 · 10th to 90th $339 to $1,288Professionalmedian $562 · 10th to 90th $245 to $891
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $1,513.56 | Professional | None | $426.58 | $426.58 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $977.24 | Facility | None | $602.56 | $676.08 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $741.31 | Professional | None | $323.59 | $602.56 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,202.26 Typical High $2,511.89 | Facility | None | $338.84 | $1,202.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $1,122.02 | Professional | None | $245.47 | $363.08 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $588.84 Typical High $676.08 | Facility | None | $173.78 | $588.84 | $676.08 |
DeanCare Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $851.14 | Professional | None | $645.65 | $812.83 | $851.14 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $588.84 Typical High $2,884.03 | Facility | None | $295.12 | $588.84 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $758.58 | Professional | None | $245.47 | $354.81 | $758.58 |
Network Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Network Health Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $1,023.29 | Professional | None | $426.58 | $549.54 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $588.84 Typical High $676.08 | Facility | None | $173.78 | $588.84 | $676.08 |
Prevea360 Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $707.95 | Professional | None | $338.84 | $588.84 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,348.96 | Professional | None | $588.84 | $851.14 | $1,348.96 |
Quartz Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $870.96 | Facility | None | $354.81 | $407.38 | $870.96 |
United Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $512.86 | Professional | None | $208.93 | $295.12 | $512.86 |
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 $213.80 Median $213.80 Typical High $758.58 | Professional | 52 · Reduced service | $213.80 | $213.80 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $302.00 | Professional | 53 · Discontinued | $85.11 | $85.11 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $229.09 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $151.36 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $295.12 | Professional | RR · Rental | $32.36 | $32.36 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | UE · Used equipment | $239.88 | $239.88 | $295.12 |
Where Wisconsin sits
The same service costs 4.2 times more in Hawaii 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· 7th of 51
$562
HI $1,023DE $245
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.