How much rates vary
Facilitymedian $32 · 10th to 90th $22 to $71Professionalmedian $30 · 10th to 90th $16 to $50
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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $81.28 | Professional | None | $19.05 | $23.44 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $53.70 | Facility | None | $32.36 | $37.15 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $32.36 Typical High $42.66 | Professional | None | $18.62 | $32.36 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $66.07 Typical High $79.43 | Facility | None | $22.39 | $66.07 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $61.66 | Professional | None | $16.22 | $31.62 | $61.66 |
DeanCare Setting Facility Modifier None Typical Low $9.55 Median $31.62 Typical High $36.31 | Facility | None | $9.55 | $31.62 | $36.31 |
DeanCare Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $51.29 | Professional | None | $34.67 | $48.98 | $51.29 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $162.18 | Facility | None | $16.22 | $33.11 | $162.18 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $43.65 | Professional | None | $14.45 | $20.42 | $43.65 |
Network Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Network Health Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $56.23 | Professional | None | $22.91 | $30.20 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $9.55 Median $31.62 Typical High $36.31 | Facility | None | $9.55 | $31.62 | $36.31 |
Prevea360 Setting Professional Modifier None Typical Low $18.20 Median $31.62 Typical High $39.81 | Professional | None | $18.20 | $31.62 | $39.81 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $75.86 | Professional | None | $32.36 | $47.86 | $75.86 |
Quartz Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $31.62 | Professional | None | $16.22 | $16.22 | $31.62 |
The Alliance Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $74.13 | Professional | None | $28.84 | $44.67 | $74.13 |
United Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $48.98 | Facility | None | $19.95 | $28.18 | $48.98 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $28.18 | Professional | None | $11.75 | $16.60 | $28.18 |
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 $11.75 Median $11.75 Typical High $47.86 | Professional | 52 · Reduced service | $11.75 | $11.75 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $19.05 | Professional | 53 · Discontinued | $4.68 | $4.68 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $14.13 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $9.55 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.82 Median $1.82 Typical High $6.76 | Professional | RR · Rental | $1.82 | $1.82 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $13.49 Typical High $17.78 | Professional | UE · Used equipment | $13.49 | $13.49 | $17.78 |
Where Wisconsin sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 11th of 51
$30.20
HI $60.26FL $16.22
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.