How much rates vary
Facilitymedian $759 · 10th to 90th $490 to $1,660Professionalmedian $708 · 10th to 90th $355 to $1,148
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $954.99 | Professional | None | $741.31 | $741.31 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,258.93 | Facility | None | $758.58 | $870.96 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $954.99 | Professional | None | $398.11 | $758.58 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,548.82 Typical High $3,235.94 | Facility | None | $489.78 | $1,548.82 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,445.44 | Professional | None | $354.81 | $537.03 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $741.31 Typical High $870.96 | Facility | None | $208.93 | $741.31 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $912.01 | Professional | None | $426.58 | $676.08 | $912.01 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $3,311.31 | Facility | None | $363.08 | $741.31 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $4,365.16 | Professional | None | $346.74 | $501.19 | $4,365.16 |
Network Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Network Health Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,318.26 | Professional | None | $537.03 | $707.95 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $741.31 Typical High $870.96 | Facility | None | $208.93 | $741.31 | $870.96 |
Prevea360 Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $741.31 | Professional | None | $426.58 | $660.69 | $741.31 |
Quartz Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,659.59 | Professional | None | $724.44 | $1,047.13 | $1,659.59 |
Quartz Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Facility | None | $489.78 | $489.78 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $1,071.52 | Facility | None | $165.96 | $323.59 | $1,071.52 |
United Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $645.65 | Professional | None | $269.15 | $489.78 | $645.65 |
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 $371.54 Median $371.54 Typical High $478.63 | Professional | 52 · Reduced service | $371.54 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $190.55 | Professional | 53 · Discontinued | $151.36 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | RR · Rental | $39.81 | $39.81 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | UE · Used equipment | $295.12 | $295.12 | $316.23 |
Where Wisconsin sits
The same service costs 2.4 times more in Iowa than in Kansas. 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
$741
IA $776KS $324
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.