How much rates vary
Facilitymedian $191 · 10th to 90th $123 to $417Professionalmedian $178 · 10th to 90th $89 to $295
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $512.86 | Professional | None | $131.83 | $138.04 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $316.23 | Facility | None | $190.55 | $218.78 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $234.42 | Professional | None | $107.15 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $389.05 Typical High $812.83 | Facility | None | $123.03 | $389.05 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $363.08 | Professional | None | $89.13 | $134.90 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $186.21 Typical High $218.78 | Facility | None | $56.23 | $186.21 | $218.78 |
DeanCare Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $309.03 | Professional | None | $199.53 | $295.12 | $309.03 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $186.21 Typical High $933.25 | Facility | None | $95.50 | $186.21 | $933.25 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $245.47 | Professional | None | $85.11 | $120.23 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Network Health Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $331.13 | Professional | None | $134.90 | $177.83 | $331.13 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $186.21 Typical High $218.78 | Facility | None | $56.23 | $186.21 | $218.78 |
Prevea360 Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $199.53 | Professional | None | $107.15 | $186.21 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $446.68 | Professional | None | $190.55 | $281.84 | $446.68 |
Quartz Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Facility | None | $123.03 | $123.03 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $288.40 | Facility | None | $87.10 | $100.00 | $288.40 |
United Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $165.96 | Professional | None | $69.18 | $97.72 | $165.96 |
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 $69.18 Median $69.18 Typical High $257.04 | Professional | 52 · Reduced service | $69.18 | $69.18 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $102.33 | Professional | 53 · Discontinued | $27.54 | $27.54 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $77.62 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $51.29 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $79.43 | Professional | RR · Rental | $10.72 | $10.72 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | UE · Used equipment | $79.43 | $79.43 | $79.43 |
Where Wisconsin sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 8th of 51
$178
HI $219AZ $89.13
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.