How much rates vary
Facilitymedian $69 · 10th to 90th $41 to $191Professionalmedian $65 · 10th to 90th $31 to $105
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $97.72 | Professional | None | $48.98 | $48.98 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $114.82 | Facility | None | $69.18 | $75.86 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $69.18 Typical High $87.10 | Professional | None | $30.90 | $69.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $190.55 Typical High $295.12 | Facility | None | $40.74 | $190.55 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $131.83 | Professional | None | $34.67 | $46.77 | $131.83 |
DeanCare Setting Facility Modifier None Typical Low $18.62 Median $67.61 Typical High $77.62 | Facility | None | $18.62 | $67.61 | $77.62 |
DeanCare Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $85.11 | Professional | None | $70.79 | $75.86 | $85.11 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $67.61 Typical High $309.03 | Facility | None | $33.11 | $67.61 | $309.03 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $363.08 | Professional | None | $28.84 | $40.74 | $363.08 |
Network Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Network Health Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $120.23 | Professional | None | $48.98 | $64.57 | $120.23 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $67.61 Typical High $77.62 | Facility | None | $18.62 | $67.61 | $77.62 |
Prevea360 Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $67.61 | Professional | None | $35.48 | $35.48 | $67.61 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $147.91 | Professional | None | $64.57 | $95.50 | $147.91 |
Quartz Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | None | $34.67 | $34.67 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | None | $69.18 | $69.18 | $91.20 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $58.88 | Professional | None | $22.91 | $33.88 | $58.88 |
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 $7.41 Median $7.41 Typical High $14.45 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $9.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $4.57 | Professional | RR · Rental | $2.88 | $2.88 | $4.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | UE · Used equipment | $21.88 | $21.88 | $23.44 |
Where Wisconsin sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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
$64.57
HI $91.20RI $30.20
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.