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 $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $10.96 | Professional | None | $3.72 | $3.72 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $5.89 Typical High $8.71 | Facility | None | $5.37 | $5.89 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.75 Median $5.37 Typical High $6.92 | Professional | None | $2.75 | $5.37 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $14.45 Typical High $22.39 | Facility | None | $3.16 | $14.45 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.72 Typical High $10.00 | Professional | None | $2.63 | $3.72 | $10.00 |
DeanCare Setting Facility Modifier None Typical Low $1.41 Median $5.25 Typical High $6.03 | Facility | None | $1.41 | $5.25 | $6.03 |
DeanCare Setting Professional Modifier None Typical Low $5.75 Median $10.96 Typical High $11.75 | Professional | None | $5.75 | $10.96 | $11.75 |
Medica Setting Facility Modifier None Typical Low $2.51 Median $5.25 Typical High $79.43 | Facility | None | $2.51 | $5.25 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.19 Median $3.16 Typical High $25.70 | Professional | None | $2.19 | $3.16 | $25.70 |
Network Health Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Network Health Setting Professional Modifier None Typical Low $3.80 Median $4.90 Typical High $9.12 | Professional | None | $3.80 | $4.90 | $9.12 |
Prevea360 Setting Facility Modifier None Typical Low $1.41 Median $5.25 Typical High $6.03 | Facility | None | $1.41 | $5.25 | $6.03 |
Prevea360 Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | None | $2.95 | $2.95 | $5.25 |
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 $3.16 Median $3.16 Typical High $3.63 | Facility | None | $3.16 | $3.16 | $3.63 |
Quartz Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.63 | Professional | None | $2.63 | $2.63 | $3.63 |
Security Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Security Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | None | $5.37 | $5.37 | $6.92 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.57 Typical High $4.47 | Professional | None | $1.74 | $2.57 | $4.47 |
6 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 52 · Reduced service Typical Low $1.86 Median $1.86 Typical High $5.50 | Professional | 52 · Reduced service | $1.86 | $1.86 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $2.19 | Professional | 53 · Discontinued | $0.76 | $0.76 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.56 Typical High $1.66 | Professional | 55 · Aftercare only | $0.56 | $0.56 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.38 Typical High $1.10 | Professional | 56 · Pre-op care only | $0.38 | $0.38 | $1.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.26 Median $0.26 Typical High $0.37 | Professional | RR · Rental | $0.26 | $0.26 | $0.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.95 Median $2.09 Typical High $2.75 | Professional | UE · Used equipment | $1.95 | $2.09 | $2.75 |
Where Wisconsin sits
The same service costs 2.1 times more in Hawaii than in Connecticut. 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
$4.90
HI $5.62CT $2.63
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.