How much rates vary
Facilitymedian $759 · 10th to 90th $447 to $1,660Professionalmedian $708 · 10th to 90th $347 to $1,148
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,995.26 | Professional | None | $549.54 | $549.54 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,258.93 | Facility | None | $758.58 | $870.96 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $933.25 | Professional | None | $467.74 | $758.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,548.82 Typical High $3,235.94 | Facility | None | $446.68 | $1,548.82 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $1,445.44 | Professional | None | $331.13 | $501.19 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $870.96 | Facility | None | $234.42 | $741.31 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,122.02 | Professional | None | $812.83 | $1,071.52 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $741.31 Typical High $3,801.89 | Facility | None | $380.19 | $741.31 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $977.24 | Professional | None | $338.84 | $478.63 | $977.24 |
Network Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Network Health Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,318.26 | Professional | None | $537.03 | $707.95 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $870.96 | Facility | None | $234.42 | $741.31 | $870.96 |
Prevea360 Setting Professional Modifier None Typical Low $426.58 Median $741.31 Typical High $954.99 | Professional | None | $426.58 | $741.31 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,819.70 | Professional | None | $758.58 | $1,148.15 | $1,819.70 |
Quartz Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $707.95 | Professional | None | $602.56 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,174.90 | Facility | None | $478.63 | $630.96 | $1,174.90 |
United Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $660.69 | Professional | None | $281.84 | $389.05 | $660.69 |
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 $275.42 Median $275.42 Typical High $1,000.00 | Professional | 52 · Reduced service | $275.42 | $275.42 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $398.11 | Professional | 53 · Discontinued | $109.65 | $109.65 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $302.00 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $199.53 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | RR · Rental | $46.77 | $46.77 | $56.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $346.74 | $371.54 |
Where Wisconsin sits
The same service costs 4.6 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· 11th of 51
$708
HI $1,514DE $331
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.