How much rates vary
Facilitymedian $224 · 10th to 90th $141 to $479Professionalmedian $219 · 10th to 90th $102 to $347
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $363.08 | Professional | None | $218.78 | $218.78 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $363.08 | Facility | None | $223.87 | $251.19 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $275.42 | Professional | None | $134.90 | $223.87 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $446.68 Typical High $933.25 | Facility | None | $141.25 | $446.68 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $416.87 | Professional | None | $102.33 | $154.88 | $416.87 |
DeanCare Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $251.19 | Facility | None | $70.79 | $218.78 | $251.19 |
DeanCare Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $389.05 | Professional | None | $239.88 | $363.08 | $389.05 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $218.78 Typical High $1,174.90 | Facility | None | $109.65 | $218.78 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $1,513.56 | Professional | None | $102.33 | $154.88 | $1,513.56 |
Network Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Network Health Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $380.19 | Professional | None | $158.49 | $204.17 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $251.19 | Facility | None | $70.79 | $218.78 | $251.19 |
Prevea360 Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $288.40 | Professional | None | $125.89 | $218.78 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $549.54 | Professional | None | $223.87 | $331.13 | $549.54 |
Quartz Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $354.81 | Facility | None | $144.54 | $158.49 | $354.81 |
United Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $190.55 | Professional | None | $91.20 | $144.54 | $190.55 |
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 $109.65 Median $109.65 Typical High $194.98 | Professional | 52 · Reduced service | $109.65 | $109.65 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 53 · Discontinued | $43.65 | $43.65 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $57.54 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $17.78 | Professional | RR · Rental | $13.18 | $13.18 | $17.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | UE · Used equipment | $100.00 | $100.00 | $107.15 |
Where Wisconsin sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 13th of 51
$219
HI $380FL $102
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.