How much rates vary
Facilitymedian $813 · 10th to 90th $708 to $1,738Professionalmedian $794 · 10th to 90th $447 to $1,202
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,174.90 | Professional | None | $616.60 | $794.33 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,348.96 | Facility | None | $812.83 | $933.25 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,023.29 | Professional | None | $616.60 | $812.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $3,388.44 | Facility | None | $707.95 | $1,659.59 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,548.82 | Professional | None | $602.56 | $758.58 | $1,548.82 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $794.33 Typical High $912.01 | Facility | None | $257.04 | $794.33 | $912.01 |
DeanCare Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $977.24 | Professional | None | $794.33 | $933.25 | $977.24 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $4,073.80 | Facility | None | $398.11 | $794.33 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $4,677.35 | Professional | None | $371.54 | $575.44 | $4,677.35 |
Network Health Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,380.38 | Professional | None | $575.44 | $741.31 | $1,380.38 |
Prevea360 Setting Facility Modifier None Typical Low $257.04 Median $794.33 Typical High $912.01 | Facility | None | $257.04 | $794.33 | $912.01 |
Prevea360 Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $794.33 | Professional | None | $457.09 | $794.33 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,995.26 | Professional | None | $812.83 | $1,202.26 | $1,995.26 |
Quartz Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | None | $645.65 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,288.25 | Facility | None | $398.11 | $398.11 | $1,288.25 |
United Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $676.08 | Professional | None | $331.13 | $524.81 | $676.08 |
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 $398.11 Median $398.11 Typical High $616.60 | Professional | 52 · Reduced service | $398.11 | $398.11 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | 53 · Discontinued | $158.49 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $123.03 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | RR · Rental | $60.26 | $60.26 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $467.74 | Professional | UE · Used equipment | $446.68 | $446.68 | $467.74 |
Where Wisconsin sits
The same service costs 2.0 times more in Iowa 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· 7th of 51
$794
IA $891FL $447
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.