How much rates vary
Facilitymedian $676 · 10th to 90th $398 to $1,479Professionalmedian $646 · 10th to 90th $309 to $1,023
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,047.13 | Professional | None | $660.69 | $660.69 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,122.02 | Facility | None | $676.08 | $776.25 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $851.14 | Professional | None | $363.08 | $676.08 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,380.38 Typical High $2,818.38 | Facility | None | $398.11 | $1,380.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $1,288.25 | Professional | None | $295.12 | $446.68 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $660.69 Typical High $758.58 | Facility | None | $190.55 | $660.69 | $758.58 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $891.25 | Professional | None | $724.44 | $831.76 | $891.25 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $3,162.28 | Facility | None | $331.13 | $660.69 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $4,365.16 | Professional | None | $309.03 | $446.68 | $4,365.16 |
Network Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Network Health Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,174.90 | Professional | None | $478.63 | $630.96 | $1,174.90 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $660.69 Typical High $758.58 | Facility | None | $190.55 | $660.69 | $758.58 |
Prevea360 Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $794.33 | Professional | None | $380.19 | $660.69 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,513.56 | Professional | None | $660.69 | $954.99 | $1,513.56 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $446.68 | Facility | None | $398.11 | $398.11 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $954.99 | Facility | None | $398.11 | $398.11 | $954.99 |
United Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $575.44 | Professional | None | $245.47 | $426.58 | $575.44 |
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 $331.13 Median $331.13 Typical High $524.81 | Professional | 52 · Reduced service | $331.13 | $331.13 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | 53 · Discontinued | $131.83 | $131.83 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $158.49 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $104.71 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $102.33 | Professional | RR · Rental | $36.31 | $36.31 | $102.33 |
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 3.7 times more in Hawaii than in Pennsylvania. 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
$661
HI $1,096PA $295
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.