How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $8Professionalmedian $3 · 10th to 90th $1 to $5
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 $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $7.94 | Professional | None | $2.04 | $2.04 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.95 Median $3.24 Typical High $4.79 | Facility | None | $2.95 | $3.24 | $4.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.95 Typical High $3.63 | Professional | None | $1.82 | $2.95 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $8.13 Typical High $12.59 | Facility | None | $1.74 | $8.13 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $2.14 Typical High $5.62 | Professional | None | $1.48 | $2.14 | $5.62 |
DeanCare Setting Facility Modifier None Typical Low $0.79 Median $2.88 Typical High $3.31 | Facility | None | $0.79 | $2.88 | $3.31 |
DeanCare Setting Professional Modifier None Typical Low $6.76 Median $11.75 Typical High $12.30 | Professional | None | $6.76 | $11.75 | $12.30 |
Medica Setting Facility Modifier None Typical Low $1.41 Median $2.88 Typical High $79.43 | Facility | None | $1.41 | $2.88 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.32 Median $1.82 Typical High $14.45 | Professional | None | $1.32 | $1.82 | $14.45 |
Network Health Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Network Health Setting Professional Modifier None Typical Low $2.09 Median $2.69 Typical High $5.01 | Professional | None | $2.09 | $2.69 | $5.01 |
Prevea360 Setting Facility Modifier None Typical Low $0.79 Median $2.88 Typical High $3.31 | Facility | None | $0.79 | $2.88 | $3.31 |
Prevea360 Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $2.88 | Professional | None | $1.66 | $1.66 | $2.88 |
Quartz Setting Professional Modifier None Typical Low $2.95 Median $4.37 Typical High $5.89 | Professional | None | $2.95 | $4.37 | $5.89 |
Quartz Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Quartz Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $2.14 | Professional | None | $1.48 | $1.48 | $2.14 |
Security Health Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Security Health Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.80 | Professional | None | $2.95 | $2.95 | $3.80 |
United Setting Professional Modifier None Typical Low $0.95 Median $1.45 Typical High $2.69 | Professional | None | $0.95 | $1.45 | $2.69 |
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 $1.05 Median $1.05 Typical High $3.98 | Professional | 52 · Reduced service | $1.05 | $1.05 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $1.58 | Professional | 53 · Discontinued | $0.41 | $0.41 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $1.20 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.18 Median $0.18 Typical High $0.20 | Professional | RR · Rental | $0.18 | $0.18 | $0.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.38 Median $1.55 Typical High $1.82 | Professional | UE · Used equipment | $1.38 | $1.55 | $1.82 |
Where Wisconsin sits
The same service costs 2.2 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· 10th of 51
$2.75
KS $3.31AL $1.48
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.