How much rates vary
Facilitymedian $724 · 10th to 90th $447 to $1,549Professionalmedian $676 · 10th to 90th $339 to $1,072
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,174.90 | Professional | None | $630.96 | $707.95 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $1,174.90 | Facility | None | $724.44 | $812.83 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $891.25 | Professional | None | $457.09 | $724.44 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,445.44 Typical High $3,019.95 | Facility | None | $446.68 | $1,445.44 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $1,348.96 | Professional | None | $331.13 | $501.19 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $707.95 Typical High $812.83 | Facility | None | $229.09 | $707.95 | $812.83 |
DeanCare Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,096.48 | Professional | None | $776.25 | $1,047.13 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $3,715.35 | Facility | None | $354.81 | $707.95 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $4,677.35 | Professional | None | $331.13 | $524.81 | $4,677.35 |
Network Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Network Health Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,230.27 | Professional | None | $512.86 | $660.69 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $229.09 Median $707.95 Typical High $812.83 | Facility | None | $229.09 | $707.95 | $812.83 |
Prevea360 Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $933.25 | Professional | None | $407.38 | $707.95 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,778.28 | Professional | None | $724.44 | $1,071.52 | $1,778.28 |
Quartz Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $478.63 | Facility | None | $446.68 | $446.68 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $660.69 | Professional | None | $562.34 | $660.69 | $660.69 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,148.15 | Facility | None | $467.74 | $467.74 | $1,148.15 |
United Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $616.60 | Professional | None | $295.12 | $467.74 | $616.60 |
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 $354.81 Median $354.81 Typical High $630.96 | Professional | 52 · Reduced service | $354.81 | $354.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | 53 · Discontinued | $141.25 | $141.25 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $186.21 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $125.89 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | RR · Rental | $45.71 | $45.71 | $56.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | UE · Used equipment | $338.84 | $338.84 | $371.54 |
Where Wisconsin sits
The same service costs 2.8 times more in Iowa 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
$708
IA $933DE $331
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.