How much rates vary
Facilitymedian $891 · 10th to 90th $589 to $1,950Professionalmedian $851 · 10th to 90th $427 to $1,349
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,380.38 | Professional | None | $870.96 | $870.96 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,479.11 | Facility | None | $891.25 | $1,023.29 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $891.25 Typical High $1,122.02 | Professional | None | $478.63 | $891.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,819.70 Typical High $3,801.89 | Facility | None | $588.84 | $1,819.70 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $1,698.24 | Professional | None | $426.58 | $660.69 | $1,698.24 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $870.96 Typical High $1,023.29 | Facility | None | $257.04 | $870.96 | $1,023.29 |
DeanCare Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $1,071.52 | Professional | None | $501.19 | $794.33 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $870.96 Typical High $4,073.80 | Facility | None | $436.52 | $870.96 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $5,248.07 | Professional | None | $407.38 | $588.84 | $5,248.07 |
Network Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Network Health Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,548.82 | Professional | None | $630.96 | $831.76 | $1,548.82 |
Prevea360 Setting Facility Modifier None Typical Low $257.04 Median $870.96 Typical High $1,023.29 | Facility | None | $257.04 | $870.96 | $1,023.29 |
Prevea360 Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $870.96 | Professional | None | $501.19 | $794.33 | $870.96 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,995.26 | Professional | None | $870.96 | $1,258.93 | $1,995.26 |
Quartz Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
United Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $1,288.25 | Facility | None | $181.97 | $398.11 | $1,288.25 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $776.25 | Professional | None | $331.13 | $562.34 | $776.25 |
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 $436.52 Median $436.52 Typical High $691.83 | Professional | 52 · Reduced service | $436.52 | $436.52 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $275.42 | Professional | 53 · Discontinued | $177.83 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $204.17 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | RR · Rental | $47.86 | $47.86 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | UE · Used equipment | $363.08 | $363.08 | $389.05 |
Where Wisconsin sits
The same service costs 2.5 times more in Montana than in Alabama. 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
$871
MT $1,072AL $427
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.