How much rates vary
Facilitymedian $692 · 10th to 90th $363 to $1,514Professionalmedian $646 · 10th to 90th $263 to $1,047
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,230.27 | Professional | None | $501.19 | $501.19 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,148.15 | Facility | None | $691.83 | $794.33 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $691.83 Typical High $870.96 | Professional | None | $309.03 | $691.83 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,412.54 Typical High $2,884.03 | Facility | None | $363.08 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $1,318.26 | Professional | None | $263.03 | $436.52 | $1,318.26 |
DeanCare Setting Facility Modifier None Typical Low $165.96 Median $676.08 Typical High $776.25 | Facility | None | $165.96 | $676.08 | $776.25 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $831.76 | Professional | None | $724.44 | $776.25 | $831.76 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $2,691.53 | Facility | None | $323.59 | $676.08 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $891.25 | Professional | None | $234.42 | $389.05 | $891.25 |
Network Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Network Health Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,202.26 | Professional | None | $489.78 | $645.65 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $676.08 Typical High $776.25 | Facility | None | $165.96 | $676.08 | $776.25 |
Prevea360 Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $676.08 | Professional | None | $389.05 | $389.05 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $912.01 Typical High $1,288.25 | Professional | None | $562.34 | $912.01 | $1,288.25 |
Quartz Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Facility | None | $363.08 | $363.08 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $645.65 | Professional | None | $537.03 | $645.65 | $645.65 |
The Alliance Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,258.93 | Professional | None | $758.58 | $1,148.15 | $1,258.93 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $831.76 | Facility | None | $338.84 | $363.08 | $831.76 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $588.84 | Professional | None | $223.87 | $338.84 | $588.84 |
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 $245.47 Median $245.47 Typical High $616.60 | Professional | 52 · Reduced service | $245.47 | $245.47 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $251.19 | Professional | 53 · Discontinued | $100.00 | $100.00 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $186.21 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $123.03 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $30.90 Typical High $39.81 | Professional | RR · Rental | $28.18 | $30.90 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Where Wisconsin sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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· 3rd of 51
$646
HI $871WV $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.