How much rates vary
Facilitymedian $110 · 10th to 90th $66 to $234Professionalmedian $102 · 10th to 90th $49 to $162
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $269.15 | Professional | None | $77.62 | $77.62 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $177.83 | Facility | None | $109.65 | $123.03 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $141.25 | Professional | None | $53.70 | $109.65 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $218.78 Typical High $457.09 | Facility | None | $66.07 | $218.78 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $204.17 | Professional | None | $48.98 | $74.13 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $28.18 Median $107.15 Typical High $123.03 | Facility | None | $28.18 | $107.15 | $123.03 |
DeanCare Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $151.36 | Professional | None | $117.49 | $144.54 | $151.36 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $467.74 | Facility | None | $53.70 | $107.15 | $467.74 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $138.04 | Professional | None | $40.74 | $64.57 | $138.04 |
Network Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Network Health Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $186.21 | Professional | None | $77.62 | $100.00 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $107.15 Typical High $123.03 | Facility | None | $28.18 | $107.15 | $123.03 |
Prevea360 Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $117.49 | Professional | None | $61.66 | $107.15 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $223.87 | Professional | None | $97.72 | $144.54 | $223.87 |
Quartz Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $72.44 | Facility | None | $66.07 | $66.07 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
United Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $144.54 | Facility | None | $47.86 | $58.88 | $144.54 |
United Setting Professional Modifier None Typical Low $35.48 Median $53.70 Typical High $91.20 | Professional | None | $35.48 | $53.70 | $91.20 |
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 $38.90 Median $38.90 Typical High $134.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $53.70 | Professional | 53 · Discontinued | $15.49 | $15.49 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $39.81 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $26.92 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.25 Typical High $30.20 | Professional | RR · Rental | $5.25 | $5.25 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | UE · Used equipment | $39.81 | $39.81 | $53.70 |
Where Wisconsin sits
The same service costs 3.4 times more in Hawaii than in Vermont. 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· 3rd of 51
$102
HI $166VT $48.98
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.