How much rates vary
Facilitymedian $245 · 10th to 90th $170 to $537Professionalmedian $229 · 10th to 90th $123 to $372
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $457.09 | Professional | None | $190.55 | $239.88 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $407.38 | Facility | None | $245.47 | $281.84 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $302.00 | Professional | None | $123.03 | $245.47 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $501.19 Typical High $1,023.29 | Facility | None | $169.82 | $501.19 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $467.74 | Professional | None | $123.03 | $190.55 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $66.07 Median $239.88 Typical High $275.42 | Facility | None | $66.07 | $239.88 | $275.42 |
DeanCare Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $363.08 | Professional | None | $263.03 | $346.74 | $363.08 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $239.88 Typical High $1,148.15 | Facility | None | $114.82 | $239.88 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $1,318.26 | Professional | None | $112.20 | $158.49 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Network Health Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $426.58 | Professional | None | $173.78 | $229.09 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $66.07 Median $239.88 Typical High $275.42 | Facility | None | $66.07 | $239.88 | $275.42 |
Prevea360 Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $269.15 | Professional | None | $138.04 | $239.88 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $512.86 | Professional | None | $223.87 | $323.59 | $512.86 |
Quartz Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $169.82 | Professional | None | $123.03 | $123.03 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | None | $165.96 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $331.13 | Facility | None | $107.15 | $134.90 | $331.13 |
United Setting Professional Modifier None Typical Low $85.11 Median $154.88 Typical High $208.93 | Professional | None | $85.11 | $154.88 | $208.93 |
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 $120.23 Median $120.23 Typical High $239.88 | Professional | 52 · Reduced service | $120.23 | $120.23 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $95.50 | Professional | 53 · Discontinued | $47.86 | $47.86 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $70.79 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $47.86 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | RR · Rental | $12.30 | $12.30 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | UE · Used equipment | $93.33 | $93.33 | $100.00 |
Where Wisconsin sits
The same service costs 2.7 times more in Hawaii than in Washington, DC. 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
$240
HI $295DC $110
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.