How much rates vary
Facilitymedian $288 · 10th to 90th $174 to $617Professionalmedian $263 · 10th to 90th $132 to $437
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $501.19 | Professional | None | $263.03 | $281.84 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $467.74 | Facility | None | $288.40 | $323.59 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $354.81 | Professional | None | $169.82 | $288.40 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $575.44 Typical High $1,202.26 | Facility | None | $173.78 | $575.44 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $537.03 | Professional | None | $128.82 | $194.98 | $537.03 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $323.59 | Facility | None | $89.13 | $281.84 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $478.63 | Professional | None | $309.03 | $446.68 | $478.63 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $281.84 Typical High $1,513.56 | Facility | None | $141.25 | $281.84 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $2,137.96 | Professional | None | $128.82 | $199.53 | $2,137.96 |
Network Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Network Health Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $489.78 | Professional | None | $204.17 | $263.03 | $489.78 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $323.59 | Facility | None | $89.13 | $281.84 | $323.59 |
Prevea360 Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $371.54 | Professional | None | $158.49 | $281.84 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $707.95 | Professional | None | $288.40 | $426.58 | $707.95 |
Quartz Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $186.21 | Facility | None | $173.78 | $173.78 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | None | $223.87 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $457.09 | Facility | None | $186.21 | $229.09 | $457.09 |
United Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $245.47 | Professional | None | $117.49 | $186.21 | $245.47 |
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 $141.25 Median $141.25 Typical High $269.15 | Professional | 52 · Reduced service | $141.25 | $141.25 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $107.15 | Professional | 53 · Discontinued | $56.23 | $56.23 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $53.70 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | RR · Rental | $16.98 | $16.98 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | UE · Used equipment | $128.82 | $128.82 | $169.82 |
Where Wisconsin sits
The same service costs 4.0 times more in Hawaii than in Florida. 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
$282
HI $525FL $132
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.