How much rates vary
Facilitymedian $676 · 10th to 90th $398 to $1,479Professionalmedian $631 · 10th to 90th $309 to $1,000
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Professional | None | $660.69 | $660.69 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,122.02 | Facility | None | $676.08 | $776.25 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $831.76 | Professional | None | $323.59 | $676.08 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,380.38 Typical High $2,818.38 | Facility | None | $398.11 | $1,380.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $1,288.25 | Professional | None | $288.40 | $436.52 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $660.69 Typical High $758.58 | Facility | None | $173.78 | $660.69 | $758.58 |
DeanCare Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $812.83 | Professional | None | $380.19 | $660.69 | $812.83 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $660.69 Typical High $2,818.38 | Facility | None | $302.00 | $660.69 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $3,162.28 | Professional | None | $309.03 | $416.87 | $3,162.28 |
Network Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Network Health Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $1,148.15 | Professional | None | $478.63 | $616.60 | $1,148.15 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $660.69 Typical High $758.58 | Facility | None | $173.78 | $660.69 | $758.58 |
Prevea360 Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $660.69 | Professional | None | $380.19 | $660.69 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,380.38 | Professional | None | $588.84 | $891.25 | $1,380.38 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Facility | None | $398.11 | $398.11 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $870.96 | Facility | None | $281.84 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $562.34 | Professional | None | $223.87 | $407.38 | $562.34 |
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 $331.13 Median $331.13 Typical High $501.19 | Professional | 52 · Reduced service | $331.13 | $331.13 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $204.17 | Professional | 53 · Discontinued | $131.83 | $131.83 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $151.36 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $100.00 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $100.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $32.36 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | UE · Used equipment | $239.88 | $239.88 | $263.03 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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· 5th of 51
$631
HI $741DC $288
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.