How much rates vary
Facilitymedian $776 · 10th to 90th $525 to $1,698Professionalmedian $724 · 10th to 90th $380 to $1,175
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,230.27 | Professional | None | $758.58 | $758.58 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,288.25 | Facility | None | $776.25 | $891.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $776.25 Typical High $954.99 | Professional | None | $407.38 | $776.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,584.89 Typical High $3,311.31 | Facility | None | $524.81 | $1,584.89 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,479.11 | Professional | None | $389.05 | $588.84 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $758.58 Typical High $891.25 | Facility | None | $204.17 | $758.58 | $891.25 |
DeanCare Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $933.25 | Professional | None | $436.52 | $758.58 | $933.25 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $758.58 Typical High $3,388.44 | Facility | None | $354.81 | $758.58 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $4,168.69 | Professional | None | $354.81 | $489.78 | $4,168.69 |
Network Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Network Health Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,348.96 | Professional | None | $549.54 | $724.44 | $1,348.96 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $758.58 Typical High $891.25 | Facility | None | $204.17 | $758.58 | $891.25 |
Prevea360 Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $758.58 | Professional | None | $436.52 | $758.58 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,621.81 | Professional | None | $707.95 | $1,023.29 | $1,621.81 |
Quartz Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
United Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $1,047.13 | Facility | None | $302.00 | $380.19 | $1,047.13 |
United Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $660.69 | Professional | None | $263.03 | $467.74 | $660.69 |
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 $380.19 Median $380.19 Typical High $616.60 | Professional | 52 · Reduced service | $380.19 | $380.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $245.47 | Professional | 53 · Discontinued | $154.88 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $123.03 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | RR · Rental | $40.74 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | UE · Used equipment | $309.03 | $309.03 | $331.13 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii than in Pennsylvania. 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
$759
HI $851PA $363
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.