How much rates vary
Facilitymedian $525 · 10th to 90th $363 to $1,148Professionalmedian $513 · 10th to 90th $263 to $813
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,047.13 | Professional | None | $512.86 | $512.86 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $870.96 | Facility | None | $524.81 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $660.69 | Professional | None | $316.23 | $524.81 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,071.52 Typical High $2,238.72 | Facility | None | $363.08 | $1,071.52 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $1,000.00 | Professional | None | $263.03 | $407.38 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $165.96 Median $512.86 Typical High $588.84 | Facility | None | $165.96 | $512.86 | $588.84 |
DeanCare Setting Professional Modifier None Typical Low $295.12 Median $512.86 Typical High $691.83 | Professional | None | $295.12 | $512.86 | $691.83 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $2,754.23 | Facility | None | $263.03 | $512.86 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $3,890.45 | Professional | None | $239.88 | $371.54 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Network Health Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $912.01 | Professional | None | $371.54 | $489.78 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $512.86 Typical High $588.84 | Facility | None | $165.96 | $512.86 | $588.84 |
Prevea360 Setting Professional Modifier None Typical Low $295.12 Median $512.86 Typical High $691.83 | Professional | None | $295.12 | $512.86 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,318.26 | Professional | None | $524.81 | $794.33 | $1,318.26 |
Quartz Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $489.78 | Professional | None | $416.87 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $851.14 | Facility | None | $346.74 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $457.09 | Professional | None | $213.80 | $346.74 | $457.09 |
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 $257.04 Median $257.04 Typical High $524.81 | Professional | 52 · Reduced service | $257.04 | $257.04 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | 53 · Discontinued | $102.33 | $102.33 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $158.49 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $104.71 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | RR · Rental | $31.62 | $31.62 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | UE · Used equipment | $234.42 | $234.42 | $257.04 |
Where Wisconsin sits
The same service costs 3.7 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· 12th of 51
$513
HI $977DE $263
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.