How much rates vary
Facilitymedian $389 · 10th to 90th $245 to $851Professionalmedian $380 · 10th to 90th $182 to $603
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | None | $380.19 | $380.19 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $645.65 | Facility | None | $389.05 | $446.68 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $489.78 | Professional | None | $239.88 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $794.33 Typical High $1,621.81 | Facility | None | $245.47 | $794.33 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $741.31 | Professional | None | $181.97 | $275.42 | $741.31 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $436.52 | Facility | None | $123.03 | $380.19 | $436.52 |
DeanCare Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $676.08 | Professional | None | $416.87 | $630.96 | $676.08 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $1,995.26 | Facility | None | $190.55 | $380.19 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $2,511.89 | Professional | None | $177.83 | $275.42 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Network Health Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $660.69 | Professional | None | $275.42 | $354.81 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $436.52 | Facility | None | $123.03 | $380.19 | $436.52 |
Prevea360 Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $380.19 | Professional | None | $218.78 | $218.78 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $977.24 | Professional | None | $389.05 | $588.84 | $977.24 |
Quartz Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Facility | None | $245.47 | $245.47 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
United Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $616.60 | Facility | None | $190.55 | $245.47 | $616.60 |
United Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $338.84 | Professional | None | $158.49 | $251.19 | $338.84 |
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 $190.55 Median $190.55 Typical High $338.84 | Professional | 52 · Reduced service | $190.55 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 53 · Discontinued | $75.86 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $67.61 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | RR · Rental | $22.91 | $22.91 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | UE · Used equipment | $173.78 | $173.78 | $186.21 |
Where Wisconsin sits
The same service costs 2.5 times more in Kansas 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· 4th of 51
$380
KS $457FL $186
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.