How much rates vary
Facilitymedian $759 · 10th to 90th $490 to $1,660Professionalmedian $708 · 10th to 90th $355 to $1,148
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,412.54 | Professional | None | $758.58 | $758.58 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,258.93 | Facility | None | $758.58 | $870.96 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $933.25 | Professional | None | $457.09 | $758.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,548.82 Typical High $3,235.94 | Facility | None | $489.78 | $1,548.82 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,445.44 | Professional | None | $354.81 | $537.03 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $870.96 | Facility | None | $239.88 | $758.58 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,000.00 | Professional | None | $426.58 | $758.58 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $3,890.45 | Facility | None | $380.19 | $758.58 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $5,011.87 | Professional | None | $346.74 | $537.03 | $5,011.87 |
Network Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Network Health Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,318.26 | Professional | None | $537.03 | $707.95 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $758.58 Typical High $870.96 | Facility | None | $239.88 | $758.58 | $870.96 |
Prevea360 Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,000.00 | Professional | None | $426.58 | $758.58 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,905.46 | Professional | None | $758.58 | $1,148.15 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Facility | None | $489.78 | $489.78 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $489.78 Median $501.19 Typical High $1,230.27 | Facility | None | $489.78 | $501.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $660.69 | Professional | None | $309.03 | $501.19 | $660.69 |
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 $371.54 Median $371.54 Typical High $707.95 | Professional | 52 · Reduced service | $371.54 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $281.84 | Professional | 53 · Discontinued | $151.36 | $151.36 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $141.25 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | RR · Rental | $45.71 | $45.71 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | UE · Used equipment | $338.84 | $338.84 | $371.54 |
Where Wisconsin sits
The same service costs 3.5 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· 7th of 51
$759
HI $1,259DE $355
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.