How much rates vary
Facilitymedian $813 · 10th to 90th $490 to $1,738Professionalmedian $759 · 10th to 90th $363 to $1,230
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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $2,344.23 | Professional | None | $575.44 | $575.44 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $1,318.26 | Facility | None | $812.83 | $912.01 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,000.00 | Professional | None | $478.63 | $812.83 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,621.81 Typical High $3,388.44 | Facility | None | $489.78 | $1,621.81 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,513.56 | Professional | None | $363.08 | $549.54 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $794.33 Typical High $912.01 | Facility | None | $257.04 | $794.33 | $912.01 |
DeanCare Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | None | $691.83 | $741.31 | $891.25 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $4,168.69 | Facility | None | $398.11 | $794.33 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $1,047.13 | Professional | None | $363.08 | $501.19 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Network Health Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,380.38 | Professional | None | $575.44 | $741.31 | $1,380.38 |
Prevea360 Setting Facility Modifier None Typical Low $257.04 Median $794.33 Typical High $912.01 | Facility | None | $257.04 | $794.33 | $912.01 |
Prevea360 Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $1,047.13 | Professional | None | $457.09 | $794.33 | $1,047.13 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,995.26 | Professional | None | $812.83 | $1,202.26 | $1,995.26 |
Quartz Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Facility | None | $489.78 | $489.78 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
Security Health Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | None | $630.96 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $1,288.25 | Facility | None | $478.63 | $524.81 | $1,288.25 |
United Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $691.83 | Professional | None | $309.03 | $436.52 | $691.83 |
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 $288.40 Median $288.40 Typical High $1,148.15 | Professional | 52 · Reduced service | $288.40 | $288.40 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $467.74 | Professional | 53 · Discontinued | $114.82 | $114.82 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $346.74 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $234.42 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $234.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $134.90 | Professional | RR · Rental | $47.86 | $47.86 | $134.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | UE · Used equipment | $363.08 | $363.08 | $389.05 |
Where Wisconsin sits
The same service costs 3.2 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· 13th of 51
$759
HI $1,175DE $363
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.