How much rates vary
Facilitymedian $389 · 10th to 90th $234 to $832Professionalmedian $363 · 10th to 90th $174 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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $1,148.15 | Professional | None | $275.42 | $275.42 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $436.52 Typical High $630.96 | Facility | None | $389.05 | $436.52 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $478.63 | Professional | None | $223.87 | $389.05 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $776.25 Typical High $1,621.81 | Facility | None | $234.42 | $776.25 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $724.44 | Professional | None | $173.78 | $251.19 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $436.52 | Facility | None | $123.03 | $380.19 | $436.52 |
DeanCare Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $630.96 | Professional | None | $416.87 | $602.56 | $630.96 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $2,089.30 | Facility | None | $190.55 | $380.19 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $501.19 | Professional | None | $173.78 | $239.88 | $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 $354.81 Typical High $660.69 | Professional | None | $275.42 | $354.81 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $436.52 | Facility | None | $123.03 | $380.19 | $436.52 |
Prevea360 Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $501.19 | Professional | None | $218.78 | $380.19 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $954.99 | Professional | None | $389.05 | $575.44 | $954.99 |
Quartz Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
United Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $616.60 | Facility | None | $251.19 | $380.19 | $616.60 |
United Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $331.13 | Professional | None | $147.91 | $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 $138.04 Median $138.04 Typical High $575.44 | Professional | 52 · Reduced service | $138.04 | $138.04 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $234.42 | Professional | 53 · Discontinued | $54.95 | $54.95 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $173.78 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $114.82 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $29.51 | Professional | RR · Rental | $22.39 | $22.39 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | UE · Used equipment | $165.96 | $165.96 | $177.83 |
Where Wisconsin sits
The same service costs 5.5 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· 12th of 51
$363
HI $955FL $174
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.