How much rates vary
Facilitymedian $158 · 10th to 90th $87 to $347Professionalmedian $148 · 10th to 90th $63 to $240
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $323.59 | Professional | None | $114.82 | $114.82 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $181.97 Typical High $263.03 | Facility | None | $158.49 | $181.97 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $199.53 | Professional | None | $83.18 | $158.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $323.59 Typical High $660.69 | Facility | None | $87.10 | $323.59 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $302.00 | Professional | None | $63.10 | $95.50 | $302.00 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $154.88 Typical High $177.83 | Facility | None | $44.67 | $154.88 | $177.83 |
DeanCare Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $190.55 | Professional | None | $89.13 | $141.25 | $190.55 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $707.95 | Facility | None | $77.62 | $154.88 | $707.95 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $204.17 | Professional | None | $67.61 | $97.72 | $204.17 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $112.20 Median $147.91 Typical High $275.42 | Professional | None | $112.20 | $147.91 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $154.88 Typical High $177.83 | Facility | None | $44.67 | $154.88 | $177.83 |
Prevea360 Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $154.88 | Professional | None | $89.13 | $138.04 | $154.88 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $346.74 | Professional | None | $151.36 | $218.78 | $346.74 |
Quartz Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $95.50 | Facility | None | $87.10 | $87.10 | $95.50 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
The Alliance Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $933.25 | Professional | None | $213.80 | $316.23 | $933.25 |
United Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $223.87 | Facility | None | $39.81 | $69.18 | $223.87 |
United Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | None | $53.70 | $77.62 | $134.90 |
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 $56.23 Median $56.23 Typical High $162.18 | Professional | 52 · Reduced service | $56.23 | $56.23 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $64.57 | Professional | 53 · Discontinued | $22.91 | $22.91 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $47.86 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $32.36 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $32.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | RR · Rental | $8.32 | $8.32 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | UE · Used equipment | $63.10 | $63.10 | $67.61 |
Where Wisconsin sits
The same service costs 2.5 times more in Arkansas 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· 4th of 51
$148
AR $158FL $64.57
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.