How much rates vary
Facilitymedian $603 · 10th to 90th $380 to $1,288Professionalmedian $589 · 10th to 90th $275 to $933
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $977.24 | Professional | None | $588.84 | $588.84 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $977.24 | Facility | None | $602.56 | $676.08 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $741.31 | Professional | None | $363.08 | $602.56 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,202.26 Typical High $2,511.89 | Facility | None | $380.19 | $1,202.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $1,122.02 | Professional | None | $275.42 | $416.87 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $588.84 Typical High $676.08 | Facility | None | $190.55 | $588.84 | $676.08 |
DeanCare Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,023.29 | Professional | None | $645.65 | $977.24 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $588.84 Typical High $3,162.28 | Facility | None | $295.12 | $588.84 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $3,890.45 | Professional | None | $275.42 | $416.87 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Network Health Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $1,023.29 | Professional | None | $426.58 | $549.54 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $588.84 Typical High $676.08 | Facility | None | $190.55 | $588.84 | $676.08 |
Prevea360 Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $776.25 | Professional | None | $338.84 | $588.84 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,479.11 | Professional | None | $602.56 | $891.25 | $1,479.11 |
Quartz Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $389.05 | Facility | None | $380.19 | $380.19 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
United Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $954.99 | Facility | None | $346.74 | $389.05 | $954.99 |
United Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $512.86 | Professional | None | $245.47 | $389.05 | $512.86 |
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 $295.12 Median $295.12 Typical High $524.81 | Professional | 52 · Reduced service | $295.12 | $295.12 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $208.93 | Professional | 53 · Discontinued | $117.49 | $117.49 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $104.71 |
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 3.2 times more in Hawaii than in Delaware. 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· 10th of 51
$589
HI $871DE $275
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.