How much rates vary
Facilitymedian $794 · 10th to 90th $501 to $1,738Professionalmedian $741 · 10th to 90th $363 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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None | $776.25 | $776.25 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $1,318.26 | Facility | None | $794.33 | $912.01 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $794.33 Typical High $1,000.00 | Professional | None | $354.81 | $794.33 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,621.81 Typical High $3,311.31 | Facility | None | $501.19 | $1,621.81 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $1,513.56 | Professional | None | $371.54 | $537.03 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $186.21 Median $776.25 Typical High $891.25 | Facility | None | $186.21 | $776.25 | $891.25 |
DeanCare Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $954.99 | Professional | None | $446.68 | $776.25 | $954.99 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $776.25 Typical High $3,090.30 | Facility | None | $323.59 | $776.25 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $3,890.45 | Professional | None | $354.81 | $446.68 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Network Health Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,348.96 | Professional | None | $562.34 | $724.44 | $1,348.96 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $776.25 Typical High $891.25 | Facility | None | $186.21 | $776.25 | $891.25 |
Prevea360 Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | None | $446.68 | $446.68 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,479.11 | Professional | None | $645.65 | $1,047.13 | $1,479.11 |
Quartz Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $524.81 | Facility | None | $501.19 | $501.19 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None | $371.54 | $371.54 | $501.19 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $954.99 | Facility | None | $389.05 | $389.05 | $954.99 |
United Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $660.69 | Professional | None | $257.04 | $436.52 | $660.69 |
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 $389.05 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | RR · Rental | $35.48 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | UE · Used equipment | $269.15 | $269.15 | $288.40 |
Where Wisconsin sits
The same service costs 3.0 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· 4th of 51
$776
HI $933DC $316
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.