How much rates vary
Facilitymedian $741 · 10th to 90th $407 to $1,622Professionalmedian $676 · 10th to 90th $309 to $1,122
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,737.80 | Professional | None | $537.03 | $537.03 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,230.27 | Facility | None | $741.31 | $851.14 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $741.31 Typical High $912.01 | Professional | None | $380.19 | $741.31 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,513.56 Typical High $3,162.28 | Facility | None | $407.38 | $1,513.56 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $1,412.54 | Professional | None | $295.12 | $436.52 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $741.31 Typical High $851.14 | Facility | None | $208.93 | $741.31 | $851.14 |
DeanCare Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $891.25 | Professional | None | $416.87 | $741.31 | $891.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $3,467.37 | Facility | None | $371.54 | $741.31 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $954.99 | Professional | None | $309.03 | $436.52 | $954.99 |
Network Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Network Health Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,288.25 | Professional | None | $524.81 | $691.83 | $1,288.25 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $741.31 Typical High $851.14 | Facility | None | $208.93 | $741.31 | $851.14 |
Prevea360 Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $870.96 | Professional | None | $416.87 | $741.31 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,659.59 | Professional | None | $724.44 | $1,047.13 | $1,659.59 |
Quartz Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Facility | None | $407.38 | $407.38 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
United Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $1,071.52 | Facility | None | $436.52 | $575.44 | $1,071.52 |
United Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $630.96 | Professional | None | $257.04 | $363.08 | $630.96 |
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 $269.15 Median $269.15 Typical High $870.96 | Professional | 52 · Reduced service | $269.15 | $269.15 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $346.74 | Professional | 53 · Discontinued | $107.15 | $107.15 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $263.03 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $173.78 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $380.19 | Professional | RR · Rental | $38.02 | $38.02 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | UE · Used equipment | $288.40 | $288.40 | $380.19 |
Where Wisconsin sits
The same service costs 4.3 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· 5th of 51
$692
HI $1,259DE $295
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.