How much rates vary
Facilitymedian $776 · 10th to 90th $398 to $1,660Professionalmedian $724 · 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 $562.34 Median $758.58 Typical High $1,096.48 | Professional | None | $562.34 | $758.58 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,258.93 | Facility | None | $776.25 | $870.96 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $776.25 Typical High $954.99 | Professional | None | $380.19 | $776.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,548.82 Typical High $3,235.94 | Facility | None | $398.11 | $1,548.82 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $1,445.44 | Professional | None | $288.40 | $436.52 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $758.58 Typical High $870.96 | Facility | None | $204.17 | $758.58 | $870.96 |
DeanCare Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $977.24 | Professional | None | $758.58 | $933.25 | $977.24 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $758.58 Typical High $3,311.31 | Facility | None | $354.81 | $758.58 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $3,630.78 | Professional | None | $354.81 | $489.78 | $3,630.78 |
Network Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Network Health Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,318.26 | Professional | None | $549.54 | $707.95 | $1,318.26 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $758.58 Typical High $870.96 | Facility | None | $204.17 | $758.58 | $870.96 |
Prevea360 Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $758.58 | Professional | None | $436.52 | $724.44 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,584.89 | Professional | None | $691.83 | $1,023.29 | $1,584.89 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Facility | None | $398.11 | $398.11 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $707.95 | Professional | None | $602.56 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,023.29 | Facility | None | $363.08 | $363.08 | $1,023.29 |
United Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $645.65 | Professional | None | $263.03 | $478.63 | $645.65 |
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 $380.19 Median $380.19 Typical High $575.44 | Professional | 52 · Reduced service | $380.19 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $229.09 | Professional | 53 · Discontinued | $151.36 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | RR · Rental | $38.02 | $38.02 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | UE · Used equipment | $288.40 | $288.40 | $309.03 |
Where Wisconsin sits
The same service costs 2.8 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· 5th of 51
$724
HI $794DE $288
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.