How much rates vary
Facilitymedian $794 · 10th to 90th $501 to $1,698Professionalmedian $741 · 10th to 90th $363 to $1,175
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Professional | None | $776.25 | $776.25 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $891.25 Typical High $1,288.25 | Facility | None | $794.33 | $891.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $977.24 | Professional | None | $416.87 | $794.33 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $3,311.31 | Facility | None | $501.19 | $1,584.89 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,479.11 | Professional | None | $363.08 | $549.54 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $776.25 Typical High $891.25 | Facility | None | $223.87 | $776.25 | $891.25 |
DeanCare Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $933.25 | Professional | None | $446.68 | $776.25 | $933.25 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $3,715.35 | Facility | None | $389.05 | $776.25 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $4,570.88 | Professional | None | $363.08 | $524.81 | $4,570.88 |
Network Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Network Health Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,348.96 | Professional | None | $562.34 | $724.44 | $1,348.96 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $776.25 Typical High $891.25 | Facility | None | $223.87 | $776.25 | $891.25 |
Prevea360 Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $933.25 | Professional | None | $446.68 | $776.25 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,778.28 | Professional | None | $758.58 | $1,096.48 | $1,778.28 |
Quartz Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $524.81 | Facility | None | $501.19 | $501.19 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,122.02 | Facility | None | $426.58 | $467.74 | $1,122.02 |
United Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $691.83 | Professional | None | $288.40 | $512.86 | $691.83 |
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 $389.05 Median $389.05 Typical High $660.69 | Professional | 52 · Reduced service | $389.05 | $389.05 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | 53 · Discontinued | $154.88 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $131.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | RR · Rental | $41.69 | $41.69 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | UE · Used equipment | $309.03 | $309.03 | $338.84 |
Where Wisconsin sits
The same service costs 3.0 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· 10th of 51
$776
HI $1,072WV $363
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.