How much rates vary
Facilitymedian $646 · 10th to 90th $417 to $1,413Professionalmedian $646 · 10th to 90th $302 to $1,000
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,621.81 | Professional | None | $645.65 | $645.65 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $1,071.52 | Facility | None | $645.65 | $741.31 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $870.96 | Professional | None | $389.05 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,318.26 Typical High $2,754.23 | Facility | None | $416.87 | $1,318.26 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $1,230.27 | Professional | None | $302.00 | $457.09 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $645.65 Typical High $741.31 | Facility | None | $204.17 | $645.65 | $741.31 |
DeanCare Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $851.14 | Professional | None | $363.08 | $645.65 | $851.14 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $3,388.44 | Facility | None | $323.59 | $645.65 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $4,786.30 | Professional | None | $295.12 | $457.09 | $4,786.30 |
Network Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Network Health Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,122.02 | Professional | None | $457.09 | $602.56 | $1,122.02 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $645.65 Typical High $741.31 | Facility | None | $204.17 | $645.65 | $741.31 |
Prevea360 Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $851.14 | Professional | None | $363.08 | $645.65 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,621.81 | Professional | None | $645.65 | $977.24 | $1,621.81 |
Quartz Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Facility | None | $416.87 | $416.87 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,047.13 | Facility | None | $426.58 | $467.74 | $1,047.13 |
United Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $562.34 | Professional | None | $263.03 | $426.58 | $562.34 |
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 $316.23 Median $316.23 Typical High $812.83 | Professional | 52 · Reduced service | $316.23 | $316.23 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $323.59 | Professional | 53 · Discontinued | $128.82 | $128.82 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $245.47 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $162.18 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $162.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | RR · Rental | $38.90 | $38.90 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | UE · Used equipment | $295.12 | $295.12 | $316.23 |
Where Wisconsin sits
The same service costs 3.9 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· 7th of 51
$646
HI $1,175DE $302
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.