How much rates vary
Facilitymedian $631 · 10th to 90th $398 to $1,380Professionalmedian $589 · 10th to 90th $295 to $955
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None | $616.60 | $616.60 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,047.13 | Facility | None | $630.96 | $724.44 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $630.96 Typical High $794.33 | Professional | None | $323.59 | $630.96 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,288.25 Typical High $2,630.27 | Facility | None | $398.11 | $1,288.25 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $1,202.26 | Professional | None | $295.12 | $426.58 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $616.60 Typical High $707.95 | Facility | None | $169.82 | $616.60 | $707.95 |
DeanCare Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $758.58 | Professional | None | $354.81 | $616.60 | $758.58 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $616.60 Typical High $2,754.23 | Facility | None | $295.12 | $616.60 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $3,162.28 | Professional | None | $288.40 | $407.38 | $3,162.28 |
Network Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Network Health Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $1,096.48 | Professional | None | $446.68 | $588.84 | $1,096.48 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $616.60 Typical High $707.95 | Facility | None | $169.82 | $616.60 | $707.95 |
Prevea360 Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $660.69 | Professional | None | $354.81 | $616.60 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,348.96 | Professional | None | $588.84 | $851.14 | $1,348.96 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
United Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $870.96 | Facility | None | $257.04 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $537.03 | Professional | None | $218.78 | $380.19 | $537.03 |
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 $309.03 Median $309.03 Typical High $457.09 | Professional | 52 · Reduced service | $309.03 | $309.03 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $181.97 | Professional | 53 · Discontinued | $123.03 | $123.03 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $32.36 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | UE · Used equipment | $239.88 | $239.88 | $263.03 |
Where Wisconsin sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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· 4th of 51
$617
HI $708DC $282
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.