How much rates vary
Facilitymedian $977 · 10th to 90th $525 to $2,089Professionalmedian $891 · 10th to 90th $437 to $1,445
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Professional | None | $954.99 | $954.99 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,584.89 | Facility | None | $977.24 | $1,096.48 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $1,202.26 | Professional | None | $512.86 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,949.84 Typical High $4,073.80 | Facility | None | $524.81 | $1,949.84 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,819.70 | Professional | None | $389.05 | $588.84 | $1,819.70 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $954.99 Typical High $1,096.48 | Facility | None | $257.04 | $954.99 | $1,096.48 |
DeanCare Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,412.54 | Professional | None | $954.99 | $1,348.96 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,168.69 | Facility | None | $446.68 | $954.99 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $4,570.88 | Professional | None | $436.52 | $616.60 | $4,570.88 |
Network Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Network Health Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,659.59 | Professional | None | $691.83 | $891.25 | $1,659.59 |
Prevea360 Setting Facility Modifier None Typical Low $257.04 Median $954.99 Typical High $1,096.48 | Facility | None | $257.04 | $954.99 | $1,096.48 |
Prevea360 Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $954.99 | Professional | None | $549.54 | $933.25 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $891.25 | $1,288.25 | $2,041.74 |
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 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None | $758.58 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $812.83 | Professional | None | $331.13 | $575.44 | $812.83 |
4 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 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $147.91 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | RR · Rental | $51.29 | $51.29 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | UE · Used equipment | $380.19 | $380.19 | $416.87 |
Where Wisconsin sits
The same service costs 3.2 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
$955
HI $1,259DE $389
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.