How much rates vary
Facilitymedian $389 · 10th to 90th $214 to $851Professionalmedian $363 · 10th to 90th $166 to $589
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $954.99 | Professional | None | $269.15 | $281.84 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $645.65 | Facility | None | $389.05 | $446.68 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $478.63 | Professional | None | $208.93 | $389.05 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $794.33 Typical High $1,621.81 | Facility | None | $213.80 | $794.33 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $741.31 | Professional | None | $158.49 | $239.88 | $741.31 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $380.19 Typical High $436.52 | Facility | None | $112.20 | $380.19 | $436.52 |
DeanCare Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $549.54 | Professional | None | $416.87 | $524.81 | $549.54 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $380.19 Typical High $1,862.09 | Facility | None | $194.98 | $380.19 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $501.19 | Professional | None | $165.96 | $234.42 | $501.19 |
Network Health Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Network Health Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $676.08 | Professional | None | $275.42 | $363.08 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $380.19 Typical High $436.52 | Facility | None | $112.20 | $380.19 | $436.52 |
Prevea360 Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $457.09 | Professional | None | $218.78 | $380.19 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $870.96 | Professional | None | $380.19 | $549.54 | $870.96 |
Quartz Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $562.34 | Facility | None | $229.09 | $257.04 | $562.34 |
United Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $331.13 | Professional | None | $134.90 | $190.55 | $331.13 |
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 $141.25 Median $141.25 Typical High $478.63 | Professional | 52 · Reduced service | $141.25 | $141.25 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $194.98 | Professional | 53 · Discontinued | $56.23 | $56.23 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $144.54 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $60.26 | Professional | RR · Rental | $20.89 | $20.89 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | UE · Used equipment | $158.49 | $158.49 | $169.82 |
Where Wisconsin sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 5th of 51
$363
HI $692FL $158
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.