How much rates vary
Facilitymedian $355 · 10th to 90th $162 to $759Professionalmedian $324 · 10th to 90th $155 to $501
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | None | $346.74 | $346.74 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $575.44 | Facility | None | $354.81 | $398.11 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $354.81 Typical High $436.52 | Professional | None | $154.88 | $354.81 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $707.95 Typical High $1,479.11 | Facility | None | $162.18 | $707.95 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $660.69 | Professional | None | $117.49 | $177.83 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $83.18 Median $346.74 Typical High $398.11 | Facility | None | $83.18 | $346.74 | $398.11 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $457.09 | Professional | None | $346.74 | $436.52 | $457.09 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $346.74 Typical High $1,318.26 | Facility | None | $144.54 | $346.74 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $1,698.24 | Professional | None | $154.88 | $199.53 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Network Health Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $602.56 | Professional | None | $251.19 | $323.59 | $602.56 |
Prevea360 Setting Facility Modifier None Typical Low $83.18 Median $346.74 Typical High $398.11 | Facility | None | $83.18 | $346.74 | $398.11 |
Prevea360 Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $346.74 | Professional | None | $199.53 | $257.04 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $660.69 | Professional | None | $288.40 | $467.74 | $660.69 |
Quartz Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $177.83 | Facility | None | $162.18 | $162.18 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | None | $117.49 | $117.49 | $162.18 |
United Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $426.58 | Facility | None | $104.71 | $128.82 | $426.58 |
United Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $295.12 | Professional | None | $114.82 | $194.98 | $295.12 |
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 $173.78 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $39.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $20.42 | Professional | RR · Rental | $15.49 | $15.49 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | UE · Used equipment | $117.49 | $117.49 | $154.88 |
Where Wisconsin sits
The same service costs 2.8 times more in Minnesota 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· 2nd of 51
$331
MN $331DE $117
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.