How much rates vary
Facilitymedian $631 · 10th to 90th $389 to $1,380Professionalmedian $589 · 10th to 90th $295 to $977
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $1,047.13 | Professional | None | $588.84 | $616.60 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,047.13 | Facility | None | $630.96 | $724.44 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $776.25 | Professional | None | $457.09 | $630.96 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,288.25 Typical High $2,691.53 | Facility | None | $389.05 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $1,202.26 | Professional | None | $281.84 | $436.52 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $616.60 Typical High $724.44 | Facility | None | $199.53 | $616.60 | $724.44 |
DeanCare Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,023.29 | Professional | None | $660.69 | $977.24 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $3,235.94 | Facility | None | $316.23 | $616.60 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $3,715.35 | Professional | None | $288.40 | $446.68 | $3,715.35 |
Network Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Network Health Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $1,096.48 | Professional | None | $446.68 | $588.84 | $1,096.48 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $616.60 Typical High $724.44 | Facility | None | $199.53 | $616.60 | $724.44 |
Prevea360 Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $660.69 | Professional | None | $354.81 | $616.60 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,584.89 | Professional | None | $630.96 | $954.99 | $1,584.89 |
Quartz Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | None | $501.19 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $1,023.29 | Facility | None | $281.84 | $331.13 | $1,023.29 |
United Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $549.54 | Professional | None | $257.04 | $416.87 | $549.54 |
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 $309.03 Median $309.03 Typical High $549.54 | Professional | 52 · Reduced service | $309.03 | $309.03 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | 53 · Discontinued | $125.89 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $165.96 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $109.65 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | RR · Rental | $45.71 | $45.71 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $346.74 | $371.54 |
Where Wisconsin sits
The same service costs 2.6 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· 8th of 51
$617
HI $724DE $282
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.