How much rates vary
Facilitymedian $46 · 10th to 90th $27 to $105Professionalmedian $42 · 10th to 90th $20 to $68
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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $75.86 | Professional | None | $31.62 | $31.62 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $74.13 | Facility | None | $45.71 | $50.12 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $45.71 Typical High $56.23 | Professional | None | $17.38 | $45.71 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $104.71 Typical High $162.18 | Facility | None | $26.92 | $104.71 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $85.11 | Professional | None | $22.91 | $33.11 | $85.11 |
DeanCare Setting Facility Modifier None Typical Low $12.02 Median $44.67 Typical High $51.29 | Facility | None | $12.02 | $44.67 | $51.29 |
DeanCare Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $58.88 | Professional | None | $44.67 | $56.23 | $58.88 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $44.67 Typical High $194.98 | Facility | None | $21.38 | $44.67 | $194.98 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $218.78 | Professional | None | $19.95 | $28.18 | $218.78 |
Network Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Network Health Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $77.62 | Professional | None | $32.36 | $41.69 | $77.62 |
Prevea360 Setting Facility Modifier None Typical Low $12.02 Median $44.67 Typical High $51.29 | Facility | None | $12.02 | $44.67 | $51.29 |
Prevea360 Setting Professional Modifier None Typical Low $21.38 Median $38.90 Typical High $44.67 | Professional | None | $21.38 | $38.90 | $44.67 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $95.50 | Professional | None | $41.69 | $57.54 | $95.50 |
Quartz Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $32.36 | Facility | None | $22.39 | $26.92 | $32.36 |
Quartz Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | None | $22.91 | $22.91 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | None | $45.71 | $45.71 | $58.88 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.88 Typical High $40.74 | Professional | None | $14.79 | $21.88 | $40.74 |
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 $4.79 Median $4.79 Typical High $11.48 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $7.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $2.95 | Professional | RR · Rental | $1.74 | $1.74 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | UE · Used equipment | $12.88 | $12.88 | $13.80 |
Where Wisconsin sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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
$41.69
ID $46.77KY $19.05
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.