How much rates vary
Facilitymedian $708 · 10th to 90th $437 to $1,514Professionalmedian $661 · 10th to 90th $324 to $1,047
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,230.27 | Professional | None | $691.83 | $691.83 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,174.90 | Facility | None | $707.95 | $812.83 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $870.96 | Professional | None | $416.87 | $707.95 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,445.44 Typical High $2,951.21 | Facility | None | $436.52 | $1,445.44 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $1,348.96 | Professional | None | $316.23 | $478.63 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $691.83 Typical High $794.33 | Facility | None | $223.87 | $691.83 | $794.33 |
DeanCare Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $933.25 | Professional | None | $707.95 | $891.25 | $933.25 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $3,630.78 | Facility | None | $346.74 | $691.83 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $4,570.88 | Professional | None | $323.59 | $501.19 | $4,570.88 |
Network Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Network Health Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,202.26 | Professional | None | $501.19 | $645.65 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $691.83 Typical High $794.33 | Facility | None | $223.87 | $691.83 | $794.33 |
Prevea360 Setting Professional Modifier None Typical Low $398.11 Median $691.83 Typical High $707.95 | Professional | None | $398.11 | $691.83 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,737.80 | Professional | None | $707.95 | $1,047.13 | $1,737.80 |
Quartz Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $467.74 | Facility | None | $436.52 | $436.52 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
United Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $1,122.02 | Facility | None | $257.04 | $346.74 | $1,122.02 |
United Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $616.60 | Professional | None | $288.40 | $457.09 | $616.60 |
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 $346.74 Median $346.74 Typical High $616.60 | Professional | 52 · Reduced service | $346.74 | $346.74 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | 53 · Discontinued | $138.04 | $138.04 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $186.21 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $123.03 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | RR · Rental | $41.69 | $41.69 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | UE · Used equipment | $316.23 | $316.23 | $338.84 |
Where Wisconsin sits
The same service costs 2.8 times more in Montana 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· 8th of 51
$692
MT $891FL $316
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.