How much rates vary
Facilitymedian $955 · 10th to 90th $501 to $2,042Professionalmedian $871 · 10th to 90th $398 to $1,413
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,949.84 | Professional | None | $676.08 | $676.08 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,548.82 | Facility | None | $954.99 | $1,071.52 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $954.99 Typical High $1,174.90 | Professional | None | $489.78 | $954.99 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,905.46 Typical High $3,981.07 | Facility | None | $501.19 | $1,905.46 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,778.28 | Professional | None | $363.08 | $549.54 | $1,778.28 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $1,071.52 | Facility | None | $257.04 | $933.25 | $1,071.52 |
DeanCare Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,096.48 | Professional | None | $933.25 | $1,000.00 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $4,265.80 | Facility | None | $467.74 | $933.25 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,202.26 | Professional | None | $389.05 | $562.34 | $1,202.26 |
Network Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Network Health Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,621.81 | Professional | None | $676.08 | $870.96 | $1,621.81 |
Prevea360 Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $1,071.52 | Facility | None | $257.04 | $933.25 | $1,071.52 |
Prevea360 Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $1,071.52 | Professional | None | $537.03 | $933.25 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $891.25 | $1,288.25 | $2,041.74 |
Quartz Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $537.03 Median $562.34 Typical High $1,318.26 | Facility | None | $537.03 | $562.34 | $1,318.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $794.33 | Professional | None | $316.23 | $467.74 | $794.33 |
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 $338.84 Median $338.84 Typical High $977.24 | Professional | 52 · Reduced service | $338.84 | $338.84 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $389.05 | Professional | 53 · Discontinued | $134.90 | $134.90 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $295.12 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $194.98 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $426.58 | Professional | RR · Rental | $48.98 | $48.98 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | UE · Used equipment | $363.08 | $363.08 | $426.58 |
Where Wisconsin sits
The same service costs 3.9 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
$871
HI $1,413DE $363
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.