How much rates vary
Facilitymedian $132 · 10th to 90th $76 to $288Professionalmedian $123 · 10th to 90th $55 to $200
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $316.23 | Professional | None | $95.50 | $95.50 | $316.23 |
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 $66.07 Median $131.83 Typical High $165.96 | Professional | None | $66.07 | $131.83 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $269.15 Typical High $562.34 | Facility | None | $75.86 | $269.15 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $251.19 | Professional | None | $54.95 | $83.18 | $251.19 |
DeanCare Setting Facility Modifier None Typical Low $34.67 Median $131.83 Typical High $151.36 | Facility | None | $34.67 | $131.83 | $151.36 |
DeanCare Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $173.78 | Professional | None | $141.25 | $162.18 | $173.78 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $562.34 | Facility | None | $66.07 | $131.83 | $562.34 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $169.82 | Professional | None | $51.29 | $77.62 | $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 $123.03 Typical High $229.09 | Professional | None | $93.33 | $123.03 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $34.67 Median $131.83 Typical High $151.36 | Facility | None | $34.67 | $131.83 | $151.36 |
Prevea360 Setting Professional Modifier None Typical Low $74.13 Median $131.83 Typical High $144.54 | Professional | None | $74.13 | $131.83 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $275.42 | Professional | None | $120.23 | $173.78 | $275.42 |
Quartz Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $83.18 | Facility | None | $75.86 | $75.86 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $75.86 | Professional | None | $54.95 | $54.95 | $75.86 |
United Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $177.83 | Facility | None | $69.18 | $72.44 | $177.83 |
United Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $112.20 | Professional | None | $43.65 | $64.57 | $112.20 |
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 $47.86 Median $47.86 Typical High $158.49 | Professional | 52 · Reduced service | $47.86 | $47.86 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $63.10 | Professional | 53 · Discontinued | $19.05 | $19.05 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $46.77 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $31.62 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $31.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $6.46 Typical High $8.51 | Professional | RR · Rental | $6.46 | $6.46 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Wisconsin sits
The same service costs 3.1 times more in Hawaii 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· 4th of 51
$123
HI $170NJ $54.95
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.