How much rates vary
Facilitymedian $112 · 10th to 90th $63 to $240Professionalmedian $105 · 10th to 90th $46 to $166
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $223.87 | Professional | None | $79.43 | $79.43 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $128.82 Typical High $186.21 | Facility | None | $112.20 | $128.82 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $112.20 Typical High $144.54 | Professional | None | $53.70 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $223.87 Typical High $467.74 | Facility | None | $63.10 | $223.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $213.80 | Professional | None | $45.71 | $69.18 | $213.80 |
DeanCare Setting Facility Modifier None Typical Low $28.18 Median $109.65 Typical High $125.89 | Facility | None | $28.18 | $109.65 | $125.89 |
DeanCare Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $144.54 | Professional | None | $117.49 | $138.04 | $144.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $109.65 Typical High $467.74 | Facility | None | $54.95 | $109.65 | $467.74 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $66.07 Typical High $141.25 | Professional | None | $40.74 | $66.07 | $141.25 |
Network Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Network Health Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $190.55 | Professional | None | $79.43 | $102.33 | $190.55 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $109.65 Typical High $125.89 | Facility | None | $28.18 | $109.65 | $125.89 |
Prevea360 Setting Professional Modifier None Typical Low $63.10 Median $109.65 Typical High $117.49 | Professional | None | $63.10 | $109.65 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $223.87 | Professional | None | $97.72 | $147.91 | $223.87 |
Quartz Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $69.18 | Facility | None | $63.10 | $63.10 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | None | $45.71 | $45.71 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | None | $87.10 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $141.25 | Facility | None | $56.23 | $58.88 | $141.25 |
United Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $93.33 | Professional | None | $36.31 | $54.95 | $93.33 |
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 $39.81 Median $39.81 Typical High $112.20 | Professional | 52 · Reduced service | $39.81 | $39.81 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $44.67 | Professional | 53 · Discontinued | $15.85 | $15.85 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $33.88 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $22.39 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $22.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.25 Typical High $7.08 | Professional | RR · Rental | $5.25 | $5.25 | $7.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | UE · Used equipment | $39.81 | $39.81 | $42.66 |
Where Wisconsin sits
The same service costs 3.2 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· 3rd of 51
$105
HI $148NJ $45.71
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.