How much rates vary
Facilitymedian $380 · 10th to 90th $178 to $813Professionalmedian $355 · 10th to 90th $170 to $562
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None | $371.54 | $371.54 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $630.96 | Facility | None | $380.19 | $436.52 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $380.19 Typical High $467.74 | Professional | None | $169.82 | $380.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $758.58 Typical High $1,584.89 | Facility | None | $177.83 | $758.58 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $724.44 | Professional | None | $128.82 | $194.98 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $371.54 Typical High $426.58 | Facility | None | $89.13 | $371.54 | $426.58 |
DeanCare Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $501.19 | Professional | None | $407.38 | $467.74 | $501.19 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $1,513.56 | Facility | None | $154.88 | $371.54 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $1,819.70 | Professional | None | $165.96 | $213.80 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Network Health Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $645.65 | Professional | None | $269.15 | $346.74 | $645.65 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $371.54 Typical High $426.58 | Facility | None | $89.13 | $371.54 | $426.58 |
Prevea360 Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | None | $213.80 | $213.80 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $707.95 | Professional | None | $309.03 | $501.19 | $707.95 |
Quartz Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | None | $223.87 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $457.09 | Facility | None | $186.21 | $208.93 | $457.09 |
United Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $316.23 | Professional | None | $123.03 | $208.93 | $316.23 |
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 $186.21 Median $186.21 Typical High $275.42 | Professional | 52 · Reduced service | $186.21 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | 53 · Discontinued | $74.13 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $54.95 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $54.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | RR · Rental | $16.98 | $16.98 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | UE · Used equipment | $125.89 | $125.89 | $138.04 |
Where Wisconsin sits
The same service costs 3.5 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· 4th of 51
$363
HI $447DE $129
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.