How much rates vary
Facilitymedian $7 · 10th to 90th $4 to $19Professionalmedian $6 · 10th to 90th $3 to $10
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 $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $15.14 | Professional | None | $4.79 | $4.79 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $7.41 Typical High $11.22 | Facility | None | $6.76 | $7.41 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $6.76 Typical High $8.51 | Professional | None | $3.55 | $6.76 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $19.05 Typical High $28.84 | Facility | None | $3.98 | $19.05 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $12.88 | Professional | None | $3.39 | $4.68 | $12.88 |
DeanCare Setting Facility Modifier None Typical Low $1.82 Median $6.61 Typical High $7.59 | Facility | None | $1.82 | $6.61 | $7.59 |
DeanCare Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $11.48 | Professional | None | $7.41 | $10.96 | $11.48 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $6.61 Typical High $79.43 | Facility | None | $3.24 | $6.61 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $33.11 | Professional | None | $2.82 | $3.98 | $33.11 |
Network Health Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Network Health Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $11.75 | Professional | None | $4.79 | $6.31 | $11.75 |
Prevea360 Setting Facility Modifier None Typical Low $1.82 Median $6.61 Typical High $7.59 | Facility | None | $1.82 | $6.61 | $7.59 |
Prevea360 Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $6.61 | Professional | None | $3.80 | $3.80 | $6.61 |
Quartz Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $14.45 | Professional | None | $6.31 | $9.12 | $14.45 |
Quartz Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4.27 | Facility | None | $3.98 | $3.98 | $4.27 |
Quartz Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.27 | Professional | None | $3.39 | $3.39 | $4.27 |
Security Health Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Security Health Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.71 | Professional | None | $6.76 | $6.76 | $8.71 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.31 Typical High $5.75 | Professional | None | $2.19 | $3.31 | $5.75 |
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 $2.40 Median $2.40 Typical High $7.59 | Professional | 52 · Reduced service | $2.40 | $2.40 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $3.02 | Professional | 53 · Discontinued | $0.95 | $0.95 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.72 Median $0.72 Typical High $2.24 | Professional | 55 · Aftercare only | $0.72 | $0.72 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.48 Median $0.48 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.48 | $0.48 | $1.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.33 Median $0.33 Typical High $0.47 | Professional | RR · Rental | $0.33 | $0.33 | $0.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.51 Median $2.69 Typical High $3.55 | Professional | UE · Used equipment | $2.51 | $2.69 | $3.55 |
Where Wisconsin sits
The same service costs 2.1 times more in Kansas than in Alabama. 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· 9th of 51
$6.31
KS $7.08AL $3.39
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.