How much rates vary
Facilitymedian $537 · 10th to 90th $339 to $1,148Professionalmedian $501 · 10th to 90th $245 to $794
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | None | $524.81 | $524.81 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $870.96 | Facility | None | $537.03 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $537.03 Typical High $660.69 | Professional | None | $316.23 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,071.52 Typical High $2,238.72 | Facility | None | $338.84 | $1,071.52 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $1,000.00 | Professional | None | $245.47 | $371.54 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $602.56 | Facility | None | $169.82 | $524.81 | $602.56 |
DeanCare Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $812.83 | Professional | None | $575.44 | $776.25 | $812.83 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $524.81 Typical High $2,754.23 | Facility | None | $263.03 | $524.81 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $3,467.37 | Professional | None | $245.47 | $371.54 | $3,467.37 |
Network Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Network Health Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $912.01 | Professional | None | $380.19 | $489.78 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $602.56 | Facility | None | $169.82 | $524.81 | $602.56 |
Prevea360 Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $524.81 | Professional | None | $302.00 | $302.00 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,318.26 | Professional | None | $537.03 | $794.33 | $1,318.26 |
Quartz Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $354.81 | Facility | None | $338.84 | $338.84 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
United Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $851.14 | Facility | None | $263.03 | $363.08 | $851.14 |
United Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $467.74 | Professional | None | $218.78 | $346.74 | $467.74 |
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 $263.03 Median $263.03 Typical High $478.63 | Professional | 52 · Reduced service | $263.03 | $263.03 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $190.55 | Professional | 53 · Discontinued | $104.71 | $104.71 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $141.25 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $95.50 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | RR · Rental | $31.62 | $31.62 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | UE · Used equipment | $239.88 | $239.88 | $257.04 |
Where Wisconsin sits
The same service costs 2.8 times more in Wyoming 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· 6th of 51
$525
WY $676DE $245
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.