How much rates vary
Facilitymedian $794 · 10th to 90th $427 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 $575.44 Median $776.25 Typical High $1,174.90 | Professional | None | $575.44 | $776.25 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $1,318.26 | Facility | None | $794.33 | $912.01 | $1,318.26 |
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 $426.58 Median $1,621.81 Typical High $3,311.31 | Facility | None | $426.58 | $1,621.81 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $1,513.56 | Professional | None | $309.03 | $478.63 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $218.78 Median $776.25 Typical High $891.25 | Facility | None | $218.78 | $776.25 | $891.25 |
DeanCare Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,122.02 | Professional | None | $851.14 | $1,071.52 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $4,677.35 | Professional | None | $363.08 | $512.86 | $4,677.35 |
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 $218.78 Median $776.25 Typical High $891.25 | Facility | None | $218.78 | $776.25 | $891.25 |
Prevea360 Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $912.01 | Professional | None | $446.68 | $776.25 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,737.80 | Professional | None | $758.58 | $1,096.48 | $1,737.80 |
Quartz Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Facility | None | $426.58 | $426.58 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | None | $616.60 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $426.58 Median $457.09 Typical High $1,122.02 | Facility | None | $426.58 | $457.09 | $1,122.02 |
United Setting Professional Modifier None Typical Low $281.84 Median $512.86 Typical High $660.69 | Professional | None | $281.84 | $512.86 | $660.69 |
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 $616.60 | Professional | 52 · Reduced service | $389.05 | $389.05 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $245.47 | Professional | 53 · Discontinued | $154.88 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $186.21 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $123.03 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | RR · Rental | $41.69 | $41.69 | $54.95 |
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 3.8 times more in Hawaii 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· 5th of 51
$759
HI $1,175DE $309
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.