How much rates vary
Facilitymedian $977 · 10th to 90th $617 to $2,089Professionalmedian $891 · 10th to 90th $447 to $1,445
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,479.11 | Professional | None | $812.83 | $954.99 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,584.89 | Facility | None | $977.24 | $1,096.48 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $977.24 Typical High $1,202.26 | Professional | None | $537.03 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,949.84 Typical High $4,073.80 | Facility | None | $616.60 | $1,949.84 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,819.70 | Professional | None | $446.68 | $676.08 | $1,819.70 |
DeanCare Setting Facility Modifier None Typical Low $281.84 Median $954.99 Typical High $1,096.48 | Facility | None | $281.84 | $954.99 | $1,096.48 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,230.27 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $4,677.35 | Facility | None | $478.63 | $954.99 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $6,606.93 | Professional | None | $436.52 | $660.69 | $6,606.93 |
Network Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Network Health Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,659.59 | Professional | None | $691.83 | $891.25 | $1,659.59 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $954.99 Typical High $1,096.48 | Facility | None | $281.84 | $954.99 | $1,096.48 |
Prevea360 Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $1,174.90 | Professional | None | $537.03 | $954.99 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $2,238.72 | Professional | None | $977.24 | $1,412.54 | $2,238.72 |
Quartz Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $630.96 | Facility | None | $616.60 | $616.60 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None | $758.58 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,412.54 | Facility | None | $588.84 | $707.95 | $1,412.54 |
United Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $831.76 | Professional | None | $363.08 | $630.96 | $831.76 |
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 $478.63 Median $478.63 Typical High $776.25 | Professional | 52 · Reduced service | $478.63 | $478.63 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | 53 · Discontinued | $190.55 | $190.55 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $154.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $151.36 | Professional | RR · Rental | $53.70 | $53.70 | $151.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | UE · Used equipment | $398.11 | $398.11 | $426.58 |
Where Wisconsin sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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
$955
HI $1,660TN $447
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.