How much rates vary
Facilitymedian $1,023 · 10th to 90th $617 to $2,188Professionalmedian $933 · 10th to 90th $457 to $1,549
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $2,630.27 | Professional | None | $724.44 | $724.44 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,659.59 | Facility | None | $1,023.29 | $1,148.15 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,258.93 | Professional | None | $616.60 | $1,023.29 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $4,265.80 | Facility | None | $616.60 | $2,041.74 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,905.46 | Professional | None | $457.09 | $691.83 | $1,905.46 |
DeanCare Setting Facility Modifier None Typical Low $323.59 Median $1,000.00 Typical High $1,148.15 | Facility | None | $323.59 | $1,000.00 | $1,148.15 |
DeanCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,479.11 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $5,248.07 | Facility | None | $501.19 | $1,000.00 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,318.26 | Professional | None | $457.09 | $630.96 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Network Health Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,737.80 | Professional | None | $724.44 | $933.25 | $1,737.80 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $1,000.00 Typical High $1,148.15 | Facility | None | $323.59 | $1,000.00 | $1,148.15 |
Prevea360 Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,318.26 | Professional | None | $575.44 | $1,000.00 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,513.56 | $2,511.89 |
Quartz Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Facility | None | $616.60 | $616.60 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $616.60 | Professional | None | $457.09 | $457.09 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | None | $812.83 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $1,621.81 | Facility | None | $645.65 | $660.69 | $1,621.81 |
United Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $870.96 | Professional | None | $389.05 | $549.54 | $870.96 |
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 $363.08 Median $363.08 Typical High $1,318.26 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $524.81 | Professional | 53 · Discontinued | $144.54 | $144.54 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $389.05 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $263.03 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $263.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | RR · Rental | $60.26 | $60.26 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $489.78 | Professional | UE · Used equipment | $457.09 | $457.09 | $489.78 |
Where Wisconsin sits
The same service costs 3.6 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· 14th of 51
$933
HI $1,660DE $457
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.