How much rates vary
Facilitymedian $871 · 10th to 90th $398 to $1,862Professionalmedian $813 · 10th to 90th $355 to $1,288
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,258.93 | Professional | None | $851.14 | $851.14 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $977.24 Typical High $1,412.54 | Facility | None | $870.96 | $977.24 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $870.96 Typical High $1,071.52 | Professional | None | $389.05 | $870.96 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,737.80 Typical High $3,630.78 | Facility | None | $398.11 | $1,737.80 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $1,621.81 | Professional | None | $295.12 | $426.58 | $1,621.81 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $851.14 Typical High $977.24 | Facility | None | $208.93 | $851.14 | $977.24 |
DeanCare Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,023.29 | Professional | None | $489.78 | $776.25 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $3,630.78 | Facility | None | $363.08 | $851.14 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $4,265.80 | Professional | None | $380.19 | $489.78 | $4,265.80 |
Network Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Network Health Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,479.11 | Professional | None | $616.60 | $794.33 | $1,479.11 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $851.14 Typical High $977.24 | Facility | None | $208.93 | $851.14 | $977.24 |
Prevea360 Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $851.14 | Professional | None | $489.78 | $741.31 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,621.81 | Professional | None | $707.95 | $1,148.15 | $1,621.81 |
Quartz Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Facility | None | $398.11 | $398.11 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,047.13 | Facility | None | $371.54 | $371.54 | $1,047.13 |
United Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $724.44 | Professional | None | $281.84 | $489.78 | $724.44 |
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 $426.58 Median $426.58 Typical High $630.96 | Professional | 52 · Reduced service | $426.58 | $426.58 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $251.19 | Professional | 53 · Discontinued | $169.82 | $169.82 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $117.49 | Professional | RR · Rental | $38.90 | $38.90 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | UE · Used equipment | $295.12 | $295.12 | $316.23 |
Where Wisconsin sits
The same service costs 2.8 times more in Wisconsin 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· 1st of 51
$851
WI $851FL $309
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.