How much rates vary
Facilitymedian $537 · 10th to 90th $355 to $1,148Professionalmedian $501 · 10th to 90th $263 to $813
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,548.82 | Professional | None | $380.19 | $380.19 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $870.96 | Facility | None | $537.03 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $660.69 | Professional | None | $323.59 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,071.52 Typical High $2,238.72 | Facility | None | $371.54 | $1,071.52 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $1,000.00 | Professional | None | $275.42 | $398.11 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $602.56 | Facility | None | $169.82 | $524.81 | $602.56 |
DeanCare Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $691.83 | Professional | None | $302.00 | $524.81 | $691.83 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $524.81 Typical High $2,818.38 | Facility | None | $263.03 | $524.81 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $691.83 | Professional | None | $239.88 | $331.13 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Network Health Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $912.01 | Professional | None | $380.19 | $489.78 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $602.56 | Facility | None | $169.82 | $524.81 | $602.56 |
Prevea360 Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $691.83 | Professional | None | $302.00 | $524.81 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,318.26 | Professional | None | $537.03 | $794.33 | $1,318.26 |
Quartz Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $851.14 | Facility | None | $346.74 | $346.74 | $851.14 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $457.09 | Professional | None | $204.17 | $263.03 | $457.09 |
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 $190.55 Median $190.55 Typical High $758.58 | Professional | 52 · Reduced service | $190.55 | $190.55 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $309.03 | Professional | 53 · Discontinued | $75.86 | $75.86 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $229.09 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $154.88 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $154.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $64.57 | Professional | RR · Rental | $32.36 | $32.36 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $204.17 | $239.88 | $239.88 |
Where Wisconsin sits
The same service costs 4.5 times more in Hawaii than in Kansas. 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· 13th of 51
$501
HI $912KS $204
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.