How much rates vary
Facilitymedian $562 · 10th to 90th $295 to $1,202Professionalmedian $513 · 10th to 90th $219 to $832
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,023.29 | Professional | None | $398.11 | $398.11 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $912.01 | Facility | None | $562.34 | $630.96 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $562.34 Typical High $691.83 | Professional | None | $295.12 | $562.34 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,122.02 Typical High $2,344.23 | Facility | None | $295.12 | $1,122.02 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $1,047.13 | Professional | None | $218.78 | $331.13 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $154.88 Median $549.54 Typical High $630.96 | Facility | None | $154.88 | $549.54 | $630.96 |
DeanCare Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $776.25 | Professional | None | $602.56 | $741.31 | $776.25 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $2,570.40 | Facility | None | $275.42 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $707.95 | Professional | None | $218.78 | $331.13 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Network Health Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $954.99 | Professional | None | $398.11 | $512.86 | $954.99 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $549.54 Typical High $630.96 | Facility | None | $154.88 | $549.54 | $630.96 |
Prevea360 Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $630.96 | Professional | None | $316.23 | $549.54 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,202.26 | Professional | None | $524.81 | $758.58 | $1,202.26 |
Quartz Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $776.25 | Facility | None | $316.23 | $346.74 | $776.25 |
United Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $467.74 | Professional | None | $186.21 | $275.42 | $467.74 |
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 $199.53 Median $199.53 Typical High $512.86 | Professional | 52 · Reduced service | $199.53 | $199.53 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $204.17 | Professional | 53 · Discontinued | $79.43 | $79.43 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $154.88 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $102.33 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $162.18 | Professional | RR · Rental | $28.84 | $28.84 | $162.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Where Wisconsin sits
The same service costs 4.2 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· 9th of 51
$513
HI $912DE $219
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.