How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $38Professionalmedian $13 · 10th to 90th $7 to $19
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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $26.92 | Professional | None | $8.71 | $11.75 | $26.92 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.98 | Professional | RR · Rental | $3.02 | $3.02 | $3.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $8.91 Typical High $19.95 | Professional | UE · Used equipment | $6.31 | $8.91 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $14.45 Typical High $21.38 | Facility | None | $13.18 | $14.45 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $15.49 | Professional | None | $12.30 | $13.18 | $15.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.23 Typical High $1.45 | Professional | RR · Rental | $1.23 | $1.23 | $1.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $9.77 Typical High $12.02 | Professional | UE · Used equipment | $9.77 | $9.77 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $61.66 | Facility | None | $36.31 | $40.74 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $18.62 | Professional | None | $7.08 | $14.13 | $18.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $1.17 | Professional | RR · Rental | $0.60 | $0.60 | $1.17 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $8.51 | Professional | UE · Used equipment | $5.37 | $5.37 | $8.51 |
DeanCare Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $13.80 | Facility | None | $9.33 | $13.49 | $13.80 |
DeanCare Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $22.91 | Professional | None | $12.59 | $19.95 | $22.91 |
DeanCare Setting Professional Modifier RR · Rental Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | RR · Rental | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | UE · Used equipment | $12.59 | $21.88 | $22.91 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $28.18 | Facility | None | $9.33 | $13.80 | $28.18 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $69.18 | Professional | None | $6.31 | $8.51 | $69.18 |
Medica Setting Professional Modifier RR · Rental Typical Low $0.59 Median $0.85 Typical High $19.95 | Professional | RR · Rental | $0.59 | $0.85 | $19.95 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $4.68 Median $5.25 Typical High $9.55 | Professional | UE · Used equipment | $4.68 | $5.25 | $9.55 |
Network Health Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $23.99 | Professional | None | $12.30 | $13.18 | $23.99 |
Network Health Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.23 Typical High $2.19 | Professional | RR · Rental | $1.12 | $1.23 | $2.19 |
Network Health Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.77 Typical High $17.78 | Professional | UE · Used equipment | $9.12 | $9.77 | $17.78 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $13.80 | Facility | None | $9.33 | $13.49 | $13.80 |
Prevea360 Setting Professional Modifier None Typical Low $7.94 Median $13.80 Typical High $13.80 | Professional | None | $7.94 | $13.80 | $13.80 |
Quartz Setting Professional Modifier None Typical Low $1.48 Median $2.82 Typical High $16.22 | Professional | None | $1.48 | $2.82 | $16.22 |
Quartz Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Quartz Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Quartz Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Security Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Security Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | None | $14.13 | $14.13 | $18.62 |
Security Health Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.32 Typical High $1.70 | Professional | RR · Rental | $1.32 | $1.32 | $1.70 |
Security Health Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | UE · Used equipment | $10.72 | $10.72 | $13.80 |
The Alliance Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $29.51 | Professional | None | $15.14 | $17.78 | $29.51 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.92 Typical High $12.88 | Professional | None | $4.68 | $6.92 | $12.88 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.65 Typical High $1.20 | Professional | RR · Rental | $0.48 | $0.65 | $1.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $5.25 Typical High $9.55 | Professional | UE · Used equipment | $3.47 | $5.25 | $9.55 |
7 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | AU · Urologic/ostomy supply | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | AV · With prosthetic/orthotic | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier AW · With surgical dressing Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | AW · With surgical dressing | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier KF · Class III device Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | KF · Class III device | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier KL · Delivered by mail Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | KL · Delivered by mail | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | KM · Facial prosthesis, new mold | $12.59 | $21.88 | $22.91 |
DeanCare Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $12.59 Median $21.88 Typical High $22.91 | Professional | KN · Facial prosthesis, prior mold | $12.59 | $21.88 | $22.91 |
Where Wisconsin sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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
$13.18
MN $15.14IL $1.35
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.