How much rates vary
Facilitymedian $257 · 10th to 90th $166 to $550Professionalmedian $234 · 10th to 90th $120 to $380
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $389.05 | Professional | None | $251.19 | $251.19 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $416.87 | Facility | None | $257.04 | $288.40 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $316.23 | Professional | None | $125.89 | $257.04 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $512.86 Typical High $1,071.52 | Facility | None | $165.96 | $512.86 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $478.63 | Professional | None | $120.23 | $186.21 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $251.19 Typical High $288.40 | Facility | None | $67.61 | $251.19 | $288.40 |
DeanCare Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $302.00 | Professional | None | $141.25 | $251.19 | $302.00 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $1,122.02 | Facility | None | $117.49 | $251.19 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $1,348.96 | Professional | None | $114.82 | $162.18 | $1,348.96 |
Network Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Network Health Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $436.52 | Professional | None | $181.97 | $234.42 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $251.19 Typical High $288.40 | Facility | None | $67.61 | $251.19 | $288.40 |
Prevea360 Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $281.84 | Professional | None | $141.25 | $251.19 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $537.03 | Professional | None | $234.42 | $338.84 | $537.03 |
Quartz Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
United Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $346.74 | Facility | None | $138.04 | $141.25 | $346.74 |
United Setting Professional Modifier None Typical Low $87.10 Median $151.36 Typical High $213.80 | Professional | None | $87.10 | $151.36 | $213.80 |
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 $125.89 Median $125.89 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $50.12 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | RR · Rental | $12.59 | $12.59 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | UE · Used equipment | $95.50 | $95.50 | $102.33 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii than in Florida. 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· 5th of 51
$245
HI $331FL $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.