How much rates vary
Facilitymedian $513 · 10th to 90th $339 to $1,096Professionalmedian $479 · 10th to 90th $251 to $776
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $2,398.83 | Professional | None | $363.08 | $363.08 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $575.44 Typical High $851.14 | Facility | None | $512.86 | $575.44 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $512.86 Typical High $630.96 | Professional | None | $281.84 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,023.29 Typical High $2,137.96 | Facility | None | $354.81 | $1,023.29 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $954.99 | Professional | None | $257.04 | $380.19 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $501.19 Typical High $575.44 | Facility | None | $147.91 | $501.19 | $575.44 |
DeanCare Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $616.60 | Professional | None | $288.40 | $501.19 | $616.60 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $2,454.71 | Facility | None | $251.19 | $501.19 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $645.65 | Professional | None | $223.87 | $309.03 | $645.65 |
Network Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Network Health Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $870.96 | Professional | None | $363.08 | $467.74 | $870.96 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $501.19 Typical High $575.44 | Facility | None | $147.91 | $501.19 | $575.44 |
Prevea360 Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $616.60 | Professional | None | $288.40 | $501.19 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,174.90 | Professional | None | $512.86 | $758.58 | $1,174.90 |
Quartz Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $758.58 | Facility | None | $234.42 | $309.03 | $758.58 |
United Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $436.52 | Professional | None | $177.83 | $257.04 | $436.52 |
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 $181.97 Median $181.97 Typical High $1,202.26 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $478.63 | Professional | 53 · Discontinued | $72.44 | $72.44 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $363.08 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $239.88 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $162.18 | Professional | RR · Rental | $28.18 | $28.18 | $162.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $177.83 | $208.93 | $208.93 |
Where Wisconsin sits
The same service costs 3.5 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· 8th of 51
$479
HI $832FL $240
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.