How much rates vary
Facilitymedian $490 · 10th to 90th $275 to $1,072Professionalmedian $479 · 10th to 90th $219 to $759
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $954.99 | Professional | None | $478.63 | $478.63 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $812.83 | Facility | None | $489.78 | $562.34 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $616.60 | Professional | None | $263.03 | $489.78 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $1,000.00 Typical High $2,041.74 | Facility | None | $275.42 | $1,000.00 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $933.25 | Professional | None | $199.53 | $302.00 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $549.54 | Facility | None | $141.25 | $478.63 | $549.54 |
DeanCare Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $776.25 | Professional | None | $478.63 | $724.44 | $776.25 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $478.63 Typical High $2,344.23 | Facility | None | $239.88 | $478.63 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $2,884.03 | Professional | None | $223.87 | $323.59 | $2,884.03 |
Network Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Network Health Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $851.14 | Professional | None | $346.74 | $457.09 | $851.14 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $478.63 Typical High $549.54 | Facility | None | $141.25 | $478.63 | $549.54 |
Prevea360 Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $478.63 | Professional | None | $275.42 | $457.09 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,096.48 | Professional | None | $478.63 | $691.83 | $1,096.48 |
Quartz Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
United Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $707.95 | Facility | None | $190.55 | $229.09 | $707.95 |
United Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $416.87 | Professional | None | $181.97 | $323.59 | $416.87 |
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 $239.88 Median $239.88 Typical High $478.63 | Professional | 52 · Reduced service | $239.88 | $239.88 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $190.55 | Professional | 53 · Discontinued | $95.50 | $95.50 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $144.54 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $95.50 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | RR · Rental | $26.30 | $26.30 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | UE · Used equipment | $199.53 | $199.53 | $213.80 |
Where Wisconsin sits
The same service costs 2.5 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· 3rd of 51
$479
HI $501FL $204
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.