How much rates vary
Facilitymedian $36 · 10th to 90th $21 to $98Professionalmedian $34 · 10th to 90th $17 to $54
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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $70.79 | Professional | None | $25.70 | $25.70 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $39.81 Typical High $58.88 | Facility | None | $36.31 | $39.81 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $36.31 Typical High $44.67 | Professional | None | $15.85 | $36.31 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $97.72 Typical High $151.36 | Facility | None | $21.38 | $97.72 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $67.61 | Professional | None | $18.20 | $27.54 | $67.61 |
DeanCare Setting Facility Modifier None Typical Low $9.77 Median $35.48 Typical High $40.74 | Facility | None | $9.77 | $35.48 | $40.74 |
DeanCare Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $50.12 | Professional | None | $43.65 | $46.77 | $50.12 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $158.49 | Facility | None | $17.38 | $35.48 | $158.49 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $177.83 | Professional | None | $16.22 | $22.39 | $177.83 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Network Health Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $61.66 | Professional | None | $25.70 | $33.11 | $61.66 |
Prevea360 Setting Facility Modifier None Typical Low $9.77 Median $35.48 Typical High $40.74 | Facility | None | $9.77 | $35.48 | $40.74 |
Prevea360 Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $35.48 | Professional | None | $20.42 | $20.42 | $35.48 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $75.86 | Professional | None | $33.11 | $47.86 | $75.86 |
Quartz Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $25.70 | Facility | None | $12.59 | $21.38 | $25.70 |
Quartz Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | None | $18.20 | $18.20 | $26.30 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | None | $36.31 | $36.31 | $46.77 |
United Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $32.36 | Professional | None | $11.75 | $17.78 | $32.36 |
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 $3.80 Median $3.80 Typical High $10.47 | Professional | 55 · Aftercare only | $3.80 | $3.80 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $7.08 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $7.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.58 Median $1.58 Typical High $2.40 | Professional | RR · Rental | $1.58 | $1.58 | $2.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | UE · Used equipment | $12.02 | $12.02 | $12.88 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 8th of 51
$33.88
HI $41.69NH $15.85
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.