How much rates vary
Facilitymedian $288 · 10th to 90th $182 to $617Professionalmedian $269 · 10th to 90th $132 to $427
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 $281.84 Median $281.84 Typical High $436.52 | Professional | None | $281.84 | $281.84 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $478.63 | Facility | None | $288.40 | $331.13 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $288.40 Typical High $363.08 | Professional | None | $134.90 | $288.40 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $588.84 Typical High $1,202.26 | Facility | None | $181.97 | $588.84 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $549.54 | Professional | None | $131.83 | $194.98 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $70.79 Median $281.84 Typical High $323.59 | Facility | None | $70.79 | $281.84 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $338.84 | Professional | None | $162.18 | $281.84 | $338.84 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $1,174.90 | Facility | None | $123.03 | $281.84 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $1,698.24 | Professional | None | $128.82 | $169.82 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
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 $70.79 Median $281.84 Typical High $323.59 | Facility | None | $70.79 | $281.84 | $323.59 |
Prevea360 Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $295.12 | Professional | None | $162.18 | $281.84 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $562.34 | Professional | None | $245.47 | $380.19 | $562.34 |
Quartz Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $190.55 | Facility | None | $181.97 | $181.97 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | None | $131.83 | $131.83 | $181.97 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | None | $181.97 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $363.08 | Facility | None | $147.91 | $173.78 | $363.08 |
United Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $239.88 | Professional | None | $93.33 | $165.96 | $239.88 |
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 $218.78 | Professional | 52 · Reduced service | $141.25 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $89.13 | Professional | 53 · Discontinued | $56.23 | $56.23 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $43.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.49 Typical High $38.02 | Professional | RR · Rental | $13.49 | $13.49 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | UE · Used equipment | $102.33 | $102.33 | $131.83 |
Where Wisconsin sits
The same service costs 3.5 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· 3rd of 51
$282
HI $427DC $120
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.