How much rates vary
Facilitymedian $447 · 10th to 90th $269 to $955Professionalmedian $417 · 10th to 90th $204 to $676
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | None | $436.52 | $436.52 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $724.44 | Facility | None | $446.68 | $501.19 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $549.54 | Professional | None | $263.03 | $446.68 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $891.25 Typical High $1,862.09 | Facility | None | $269.15 | $891.25 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $831.76 | Professional | None | $199.53 | $302.00 | $831.76 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $436.52 Typical High $501.19 | Facility | None | $141.25 | $436.52 | $501.19 |
DeanCare Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $758.58 | Professional | None | $478.63 | $707.95 | $758.58 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $436.52 Typical High $2,344.23 | Facility | None | $218.78 | $436.52 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $2,818.38 | Professional | None | $204.17 | $309.03 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Network Health Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $758.58 | Professional | None | $316.23 | $407.38 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $436.52 Typical High $501.19 | Facility | None | $141.25 | $436.52 | $501.19 |
Prevea360 Setting Professional Modifier None Typical Low $251.19 Median $436.52 Typical High $575.44 | Professional | None | $251.19 | $436.52 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,096.48 | Professional | None | $446.68 | $660.69 | $1,096.48 |
Quartz Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $295.12 | Facility | None | $269.15 | $269.15 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $707.95 | Facility | None | $281.84 | $288.40 | $707.95 |
United Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $380.19 | Professional | None | $181.97 | $288.40 | $380.19 |
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 $218.78 Median $218.78 Typical High $389.05 | Professional | 52 · Reduced service | $218.78 | $218.78 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | 53 · Discontinued | $87.10 | $87.10 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $35.48 | Professional | RR · Rental | $26.30 | $26.30 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | UE · Used equipment | $199.53 | $199.53 | $213.80 |
Where Wisconsin sits
The same service costs 3.3 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· 9th of 51
$437
HI $661DE $200
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.