How much rates vary
Facilitymedian $955 · 10th to 90th $661 to $2,089Professionalmedian $891 · 10th to 90th $468 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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,288.25 | Professional | None | $707.95 | $933.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,584.89 | Facility | None | $954.99 | $1,096.48 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $1,202.26 | Professional | None | $478.63 | $954.99 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,949.84 Typical High $3,981.07 | Facility | None | $660.69 | $1,949.84 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $1,819.70 | Professional | None | $489.78 | $741.31 | $1,819.70 |
DeanCare Setting Facility Modifier None Typical Low $245.47 Median $933.25 Typical High $1,071.52 | Facility | None | $245.47 | $933.25 | $1,071.52 |
DeanCare Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,174.90 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $933.25 Typical High $3,981.07 | Facility | None | $426.58 | $933.25 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $5,495.41 | Professional | None | $436.52 | $588.84 | $5,495.41 |
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 $676.08 Median $870.96 Typical High $1,621.81 | Professional | None | $676.08 | $870.96 | $1,621.81 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $933.25 Typical High $1,071.52 | Facility | None | $245.47 | $933.25 | $1,071.52 |
Prevea360 Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $1,023.29 | Professional | None | $537.03 | $933.25 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,949.84 | Professional | None | $831.76 | $1,258.93 | $1,949.84 |
Quartz Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,230.27 | Facility | None | $501.19 | $549.54 | $1,230.27 |
United Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $794.33 | Professional | None | $316.23 | $575.44 | $794.33 |
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 $467.74 Median $467.74 Typical High $676.08 | Professional | 52 · Reduced service | $467.74 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $269.15 | Professional | 53 · Discontinued | $186.21 | $186.21 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | RR · Rental | $45.71 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $346.74 | $371.54 |
Where Wisconsin sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 6th of 51
$933
HI $1,380KS $339
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.