How much rates vary
Facilitymedian $68 · 10th to 90th $40 to $186Professionalmedian $63 · 10th to 90th $33 to $102
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $125.89 | Professional | None | $47.86 | $47.86 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $112.20 | Facility | None | $67.61 | $74.13 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $67.61 Typical High $85.11 | Professional | None | $33.11 | $67.61 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $186.21 Typical High $288.40 | Facility | None | $39.81 | $186.21 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $128.82 | Professional | None | $33.88 | $46.77 | $128.82 |
DeanCare Setting Facility Modifier None Typical Low $18.20 Median $66.07 Typical High $75.86 | Facility | None | $18.20 | $66.07 | $75.86 |
DeanCare Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $83.18 | Professional | None | $66.07 | $70.79 | $83.18 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $66.07 Typical High $309.03 | Facility | None | $32.36 | $66.07 | $309.03 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $331.13 | Professional | None | $28.18 | $39.81 | $331.13 |
Network Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Network Health Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $117.49 | Professional | None | $47.86 | $63.10 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $18.20 Median $66.07 Typical High $75.86 | Facility | None | $18.20 | $66.07 | $75.86 |
Prevea360 Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | None | $38.02 | $38.02 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $144.54 | Professional | None | $63.10 | $91.20 | $144.54 |
Quartz Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $42.66 | Facility | None | $39.81 | $39.81 | $42.66 |
Quartz Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | None | $33.88 | $33.88 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | None | $67.61 | $67.61 | $89.13 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $57.54 | Professional | None | $21.88 | $33.11 | $57.54 |
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 $7.24 Median $7.24 Typical High $19.05 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $12.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $28.18 | Professional | RR · Rental | $3.31 | $3.31 | $28.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $26.92 Typical High $35.48 | Professional | UE · Used equipment | $25.12 | $26.92 | $35.48 |
Where Wisconsin sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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
$63.10
HI $75.86KS $13.18
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.