How much rates vary
Facilitymedian $912 · 10th to 90th $589 to $1,995Professionalmedian $851 · 10th to 90th $427 to $1,380
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,778.28 | Professional | None | $891.25 | $891.25 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,513.56 | Facility | None | $912.01 | $1,047.13 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,122.02 | Professional | None | $524.81 | $912.01 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,862.09 Typical High $3,890.45 | Facility | None | $588.84 | $1,862.09 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $1,737.80 | Professional | None | $426.58 | $645.65 | $1,737.80 |
DeanCare Setting Facility Modifier None Typical Low $275.42 Median $891.25 Typical High $1,023.29 | Facility | None | $275.42 | $891.25 | $1,023.29 |
DeanCare Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,412.54 | Professional | None | $977.24 | $1,348.96 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $891.25 Typical High $4,466.84 | Facility | None | $457.09 | $891.25 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $5,754.40 | Professional | None | $416.87 | $645.65 | $5,754.40 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Network Health Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,584.89 | Professional | None | $645.65 | $851.14 | $1,584.89 |
Prevea360 Setting Facility Modifier None Typical Low $275.42 Median $891.25 Typical High $1,023.29 | Facility | None | $275.42 | $891.25 | $1,023.29 |
Prevea360 Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $1,071.52 | Professional | None | $512.86 | $891.25 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $2,187.76 | Professional | None | $912.01 | $1,380.38 | $2,187.76 |
Quartz Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $602.56 | Facility | None | $588.84 | $588.84 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Security Health Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | None | $724.44 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $1,412.54 | Facility | None | $501.19 | $524.81 | $1,412.54 |
United Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $776.25 | Professional | None | $354.81 | $602.56 | $776.25 |
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 $446.68 Median $446.68 Typical High $891.25 | Professional | 52 · Reduced service | $446.68 | $446.68 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $354.81 | Professional | 53 · Discontinued | $181.97 | $181.97 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $269.15 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $177.83 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | RR · Rental | $52.48 | $52.48 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | UE · Used equipment | $389.05 | $389.05 | $416.87 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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
$891
HI $1,175WV $427
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.