How much rates vary
Facilitymedian $617 · 10th to 90th $389 to $1,318Professionalmedian $562 · 10th to 90th $282 to $912
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,445.44 | Professional | None | $436.52 | $436.52 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $1,000.00 | Facility | None | $616.60 | $691.83 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $616.60 Typical High $758.58 | Professional | None | $302.00 | $616.60 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $2,570.40 | Facility | None | $389.05 | $1,230.27 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $1,148.15 | Professional | None | $281.84 | $416.87 | $1,148.15 |
DeanCare Setting Facility Modifier None Typical Low $158.49 Median $602.56 Typical High $691.83 | Facility | None | $158.49 | $602.56 | $691.83 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $724.44 | Professional | None | $346.74 | $602.56 | $724.44 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $602.56 Typical High $2,630.27 | Facility | None | $302.00 | $602.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $776.25 | Professional | None | $245.47 | $363.08 | $776.25 |
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 $436.52 Median $562.34 Typical High $1,047.13 | Professional | None | $436.52 | $562.34 | $1,047.13 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $602.56 Typical High $691.83 | Facility | None | $158.49 | $602.56 | $691.83 |
Prevea360 Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $660.69 | Professional | None | $346.74 | $602.56 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $1,258.93 | Professional | None | $549.54 | $812.83 | $1,258.93 |
Quartz Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Facility | None | $389.05 | $389.05 | $398.11 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
United Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $812.83 | Facility | None | $331.13 | $426.58 | $812.83 |
United Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $512.86 | Professional | None | $199.53 | $302.00 | $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 $218.78 Median $218.78 Typical High $724.44 | Professional | 52 · Reduced service | $218.78 | $218.78 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $288.40 | Professional | 53 · Discontinued | $87.10 | $87.10 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $218.78 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $144.54 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $144.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $223.87 | Professional | RR · Rental | $30.20 | $30.20 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Where Wisconsin sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 6th of 51
$562
HI $891DC $263
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.