How much rates vary
Facilitymedian $288 · 10th to 90th $170 to $631Professionalmedian $269 · 10th to 90th $126 to $437
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $794.33 | Professional | None | $208.93 | $208.93 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $478.63 | Facility | None | $288.40 | $331.13 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $354.81 | Professional | None | $162.18 | $288.40 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $588.84 Typical High $1,202.26 | Facility | None | $169.82 | $588.84 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $549.54 | Professional | None | $125.89 | $181.97 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $323.59 | Facility | None | $89.13 | $281.84 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $457.09 | Professional | None | $309.03 | $426.58 | $457.09 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $281.84 Typical High $1,445.44 | Facility | None | $144.54 | $281.84 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $371.54 | Professional | None | $125.89 | $173.78 | $371.54 |
Network Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Network Health Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $501.19 | Professional | None | $204.17 | $269.15 | $501.19 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $323.59 | Facility | None | $89.13 | $281.84 | $323.59 |
Prevea360 Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $363.08 | Professional | None | $162.18 | $281.84 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $691.83 | Professional | None | $288.40 | $436.52 | $691.83 |
Quartz Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | None | $229.09 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $446.68 | Facility | None | $181.97 | $229.09 | $446.68 |
United Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $251.19 | Professional | None | $107.15 | $147.91 | $251.19 |
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 $104.71 Median $104.71 Typical High $398.11 | Professional | 52 · Reduced service | $104.71 | $104.71 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $158.49 | Professional | 53 · Discontinued | $41.69 | $41.69 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $120.23 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $79.43 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.22 Typical High $162.18 | Professional | RR · Rental | $16.22 | $16.22 | $162.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | UE · Used equipment | $123.03 | $123.03 | $162.18 |
Where Wisconsin sits
The same service costs 4.7 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· 12th of 51
$269
HI $589DE $126
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.