How much rates vary
Facilitymedian $5 · 10th to 90th $3 to $14Professionalmedian $5 · 10th to 90th $3 to $8
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 $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $19.05 | Professional | None | $3.63 | $3.63 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $5.75 Typical High $8.51 | Facility | None | $5.25 | $5.75 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $5.25 Typical High $6.46 | Professional | None | $2.69 | $5.25 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $14.45 Typical High $22.39 | Facility | None | $3.09 | $14.45 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.63 Typical High $9.77 | Professional | None | $2.57 | $3.63 | $9.77 |
DeanCare Setting Facility Modifier None Typical Low $1.41 Median $5.13 Typical High $5.89 | Facility | None | $1.41 | $5.13 | $5.89 |
DeanCare Setting Professional Modifier None Typical Low $5.13 Median $9.77 Typical High $10.23 | Professional | None | $5.13 | $9.77 | $10.23 |
Medica Setting Facility Modifier None Typical Low $2.45 Median $5.13 Typical High $79.43 | Facility | None | $2.45 | $5.13 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $25.12 | Professional | None | $2.14 | $3.09 | $25.12 |
Network Health Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Network Health Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $8.91 | Professional | None | $3.72 | $4.79 | $8.91 |
Prevea360 Setting Facility Modifier None Typical Low $1.41 Median $5.13 Typical High $5.89 | Facility | None | $1.41 | $5.13 | $5.89 |
Prevea360 Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $5.13 | Professional | None | $2.95 | $5.01 | $5.13 |
Quartz Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $10.96 | Professional | None | $4.79 | $7.08 | $10.96 |
Quartz Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.31 | Facility | None | $3.09 | $3.09 | $3.31 |
Quartz Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.31 | Professional | None | $2.57 | $2.57 | $3.31 |
Security Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Security Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.76 | Professional | None | $5.25 | $5.25 | $6.76 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.51 Typical High $4.37 | Professional | None | $1.70 | $2.51 | $4.37 |
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 $0.55 Median $0.55 Typical High $2.82 | Professional | 55 · Aftercare only | $0.55 | $0.55 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.37 Typical High $1.91 | Professional | 56 · Pre-op care only | $0.37 | $0.37 | $1.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.26 Median $0.26 Typical High $0.36 | Professional | RR · Rental | $0.26 | $0.26 | $0.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.91 Median $1.91 Typical High $2.69 | Professional | UE · Used equipment | $1.91 | $1.91 | $2.69 |
Where Wisconsin sits
The same service costs 3.2 times more in Kansas than in Missouri. 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
$4.79
KS $8.13MO $2.57
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.