How much rates vary
Facilitymedian $437 · 10th to 90th $229 to $933Professionalmedian $398 · 10th to 90th $166 to $646
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $645.65 | Professional | None | $218.78 | $309.03 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $707.95 | Facility | None | $436.52 | $489.78 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $436.52 Typical High $537.03 | Professional | None | $213.80 | $436.52 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $870.96 Typical High $1,819.70 | Facility | None | $229.09 | $870.96 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $812.83 | Professional | None | $165.96 | $257.04 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $426.58 Typical High $489.78 | Facility | None | $109.65 | $426.58 | $489.78 |
DeanCare Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $562.34 | Professional | None | $457.09 | $537.03 | $562.34 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $1,905.46 | Facility | None | $213.80 | $426.58 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $549.54 | Professional | None | $169.82 | $257.04 | $549.54 |
Network Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Network Health Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $741.31 | Professional | None | $309.03 | $398.11 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $426.58 Typical High $489.78 | Facility | None | $109.65 | $426.58 | $489.78 |
Prevea360 Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $457.09 | Professional | None | $245.47 | $426.58 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $870.96 | Professional | None | $380.19 | $575.44 | $870.96 |
Quartz Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $257.04 | Facility | None | $229.09 | $229.09 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None | $165.96 | $165.96 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | None | $338.84 | $398.11 | $398.11 |
The Alliance Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $562.34 | Facility | None | $229.09 | $251.19 | $562.34 |
United Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $363.08 | Professional | None | $141.25 | $213.80 | $363.08 |
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 $154.88 Median $154.88 Typical High $380.19 | Professional | 52 · Reduced service | $154.88 | $154.88 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $151.36 | Professional | 53 · Discontinued | $61.66 | $61.66 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $114.82 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $75.86 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | RR · Rental | $20.42 | $20.42 | $27.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | UE · Used equipment | $154.88 | $154.88 | $165.96 |
Where Wisconsin sits
The same service costs 3.5 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· 3rd of 51
$398
HI $589DE $166
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.