How much rates vary
Facilitymedian $776 · 10th to 90th $407 to $1,778Professionalmedian $724 · 10th to 90th $302 to $1,175
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $1,819.70 | Professional | None | $537.03 | $549.54 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,288.25 | Facility | None | $776.25 | $891.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $776.25 Typical High $977.24 | Professional | None | $398.11 | $776.25 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,584.89 Typical High $3,235.94 | Facility | None | $407.38 | $1,584.89 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $1,479.11 | Professional | None | $295.12 | $457.09 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $758.58 Typical High $870.96 | Facility | None | $208.93 | $758.58 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $954.99 | Professional | None | $831.76 | $912.01 | $954.99 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $3,548.13 | Facility | None | $380.19 | $758.58 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $1,000.00 | Professional | None | $316.23 | $457.09 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Network Health Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,318.26 | Professional | None | $549.54 | $707.95 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $758.58 Typical High $870.96 | Facility | None | $208.93 | $758.58 | $870.96 |
Prevea360 Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $870.96 | Professional | None | $436.52 | $758.58 | $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 $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $707.95 | Professional | None | $602.56 | $707.95 | $707.95 |
The Alliance Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $4,365.16 | Professional | None | $1,023.29 | $1,288.25 | $4,365.16 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,071.52 | Facility | None | $436.52 | $436.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $645.65 | Professional | None | $257.04 | $380.19 | $645.65 |
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 $275.42 Median $275.42 Typical High $912.01 | Professional | 52 · Reduced service | $275.42 | $275.42 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $363.08 | Professional | 53 · Discontinued | $112.20 | $112.20 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $269.15 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $181.97 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $181.97 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $52.48 | Professional | RR · Rental | $38.02 | $38.02 | $52.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | UE · Used equipment | $288.40 | $288.40 | $295.12 |
Where Wisconsin sits
The same service costs 3.5 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· 4th of 51
$724
HI $1,122DE $316
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.