How much rates vary
Facilitymedian $214 · 10th to 90th $135 to $468Professionalmedian $200 · 10th to 90th $100 to $324
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $724.44 | Professional | None | $154.88 | $154.88 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $354.81 | Facility | None | $213.80 | $245.47 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $269.15 | Professional | None | $123.03 | $213.80 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $891.25 | Facility | None | $134.90 | $436.52 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $407.38 | Professional | None | $100.00 | $151.36 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $208.93 Typical High $239.88 | Facility | None | $64.57 | $208.93 | $239.88 |
DeanCare Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $257.04 | Professional | None | $120.23 | $208.93 | $257.04 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $1,071.52 | Facility | None | $107.15 | $208.93 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $275.42 | Professional | None | $95.50 | $134.90 | $275.42 |
Network Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Network Health Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Professional | None | $151.36 | $199.53 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $64.57 Median $208.93 Typical High $239.88 | Facility | None | $64.57 | $208.93 | $239.88 |
Prevea360 Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $257.04 | Professional | None | $120.23 | $208.93 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $512.86 | Professional | None | $213.80 | $323.59 | $512.86 |
Quartz Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $141.25 | Facility | None | $134.90 | $134.90 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None | $100.00 | $100.00 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $331.13 | Facility | None | $63.10 | $128.82 | $331.13 |
United Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $186.21 | Professional | None | $79.43 | $109.65 | $186.21 |
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 $77.62 Median $77.62 Typical High $363.08 | Professional | 52 · Reduced service | $77.62 | $77.62 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $144.54 | Professional | 53 · Discontinued | $30.90 | $30.90 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $107.15 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $72.44 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $77.62 | Professional | RR · Rental | $12.30 | $12.30 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | UE · Used equipment | $91.20 | $91.20 | $91.20 |
Where Wisconsin sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 10th of 51
$200
KS $389NJ $100
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.