How much rates vary
Facilitymedian $132 · 10th to 90th $81 to $282Professionalmedian $120 · 10th to 90th $59 to $195
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $257.04 | Professional | None | $93.33 | $93.33 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $218.78 | Facility | None | $131.83 | $151.36 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $162.18 | Professional | None | $77.62 | $131.83 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $269.15 Typical High $549.54 | Facility | None | $81.28 | $269.15 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $251.19 | Professional | None | $58.88 | $87.10 | $251.19 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $128.82 Typical High $147.91 | Facility | None | $41.69 | $128.82 | $147.91 |
DeanCare Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $169.82 | Professional | None | $74.13 | $128.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $128.82 Typical High $676.08 | Facility | None | $64.57 | $128.82 | $676.08 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $169.82 | Professional | None | $58.88 | $81.28 | $169.82 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Network Health Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $223.87 | Professional | None | $93.33 | $120.23 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $41.69 Median $128.82 Typical High $147.91 | Facility | None | $41.69 | $128.82 | $147.91 |
Prevea360 Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $169.82 | Professional | None | $74.13 | $128.82 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $323.59 | Professional | None | $131.83 | $194.98 | $323.59 |
Quartz Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $87.10 | Facility | None | $81.28 | $81.28 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
United Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $208.93 | Facility | None | $79.43 | $85.11 | $208.93 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $114.82 | Professional | None | $50.12 | $64.57 | $114.82 |
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 $46.77 Median $46.77 Typical High $128.82 | Professional | 52 · Reduced service | $46.77 | $46.77 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $51.29 | Professional | 53 · Discontinued | $18.62 | $18.62 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $38.90 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $25.70 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $25.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $7.76 Typical High $43.65 | Professional | RR · Rental | $7.76 | $7.76 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Where Wisconsin sits
The same service costs 5.1 times more in Kansas 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
$123
KS $309FL $60.26
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.