How much rates vary
Facilitymedian $55 · 10th to 90th $35 to $151Professionalmedian $51 · 10th to 90th $26 to $83
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $95.50 | Professional | None | $33.11 | $38.90 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $91.20 | Facility | None | $54.95 | $63.10 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $69.18 | Professional | None | $30.90 | $54.95 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $151.36 Typical High $229.09 | Facility | None | $35.48 | $151.36 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $43.65 Typical High $104.71 | Professional | None | $25.70 | $43.65 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $53.70 Typical High $61.66 | Facility | None | $31.62 | $53.70 | $61.66 |
DeanCare Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $66.07 | Professional | None | $53.70 | $57.54 | $66.07 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $251.19 | Facility | None | $35.48 | $53.70 | $251.19 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $269.15 | Professional | None | $26.30 | $36.31 | $269.15 |
Network Health Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $134.90 | Professional | None | $47.86 | $72.44 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $53.70 Typical High $61.66 | Facility | None | $31.62 | $53.70 | $61.66 |
Prevea360 Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $123.03 | Professional | None | $53.70 | $75.86 | $123.03 |
Quartz Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Quartz Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $38.02 | Professional | None | $25.70 | $25.70 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | None | $54.95 | $54.95 | $72.44 |
The Alliance Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | None | $91.20 | $91.20 | $120.23 |
United Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $51.29 | Professional | None | $19.05 | $28.18 | $51.29 |
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 $19.50 Median $19.50 Typical High $47.86 | Professional | 52 · Reduced service | $19.50 | $19.50 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $19.05 | Professional | 53 · Discontinued | $7.76 | $7.76 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $14.13 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $9.55 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.89 | Professional | RR · Rental | $3.09 | $3.09 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | UE · Used equipment | $22.91 | $22.91 | $25.12 |
Where Wisconsin sits
The same service costs 2.2 times more in Hawaii than in Utah. 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· 10th of 51
$51.29
HI $57.54UT $25.70
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.