How much rates vary
Facilitymedian $589 · 10th to 90th $372 to $1,288Professionalmedian $550 · 10th to 90th $275 to $891
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,479.11 | Professional | None | $416.87 | $416.87 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $977.24 | Facility | None | $588.84 | $676.08 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $794.33 | Professional | None | $338.84 | $588.84 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,202.26 Typical High $2,454.71 | Facility | None | $371.54 | $1,202.26 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $1,122.02 | Professional | None | $275.42 | $398.11 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $181.97 Median $575.44 Typical High $660.69 | Facility | None | $181.97 | $575.44 | $660.69 |
DeanCare Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $741.31 | Professional | None | $331.13 | $575.44 | $741.31 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $2,951.21 | Facility | None | $288.40 | $575.44 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $758.58 | Professional | None | $263.03 | $371.54 | $758.58 |
Network Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Network Health Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $1,000.00 | Professional | None | $416.87 | $537.03 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $575.44 Typical High $660.69 | Facility | None | $181.97 | $575.44 | $660.69 |
Prevea360 Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $741.31 | Professional | None | $331.13 | $575.44 | $741.31 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,412.54 | Professional | None | $588.84 | $891.25 | $1,412.54 |
Quartz Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Facility | None | $371.54 | $371.54 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $912.01 | Facility | None | $269.15 | $371.54 | $912.01 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $512.86 | Professional | None | $218.78 | $309.03 | $512.86 |
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 $208.93 Median $208.93 Typical High $741.31 | Professional | 52 · Reduced service | $208.93 | $208.93 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $302.00 | Professional | 53 · Discontinued | $85.11 | $85.11 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $223.87 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $147.91 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $147.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $186.21 | Professional | RR · Rental | $33.88 | $33.88 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $257.04 | $257.04 | $257.04 |
Where Wisconsin sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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
$550
HI $813VT $275
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.