How much rates vary
Facilitymedian $107 · 10th to 90th $71 to $234Professionalmedian $100 · 10th to 90th $52 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 $245.47 | Professional | None | $77.62 | $77.62 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $177.83 | Facility | None | $107.15 | $123.03 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $131.83 | Professional | None | $58.88 | $107.15 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $218.78 Typical High $446.68 | Facility | None | $72.44 | $218.78 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $204.17 | Professional | None | $53.70 | $77.62 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $104.71 Typical High $120.23 | Facility | None | $31.62 | $104.71 | $120.23 |
DeanCare Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $165.96 | Professional | None | $114.82 | $154.88 | $165.96 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $104.71 Typical High $512.86 | Facility | None | $53.70 | $104.71 | $512.86 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $138.04 | Professional | None | $44.67 | $63.10 | $138.04 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Network Health Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $186.21 | Professional | None | $75.86 | $100.00 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $104.71 Typical High $120.23 | Facility | None | $31.62 | $104.71 | $120.23 |
Prevea360 Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $128.82 | Professional | None | $60.26 | $104.71 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $245.47 | Professional | None | $107.15 | $154.88 | $245.47 |
Quartz Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
United Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $158.49 | Facility | None | $47.86 | $64.57 | $158.49 |
United Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $91.20 | Professional | None | $38.02 | $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 $38.02 Median $38.02 Typical High $123.03 | Professional | 52 · Reduced service | $38.02 | $38.02 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $50.12 | Professional | 53 · Discontinued | $15.49 | $15.49 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $37.15 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $24.55 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $24.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $7.59 | Professional | RR · Rental | $5.89 | $5.89 | $7.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
Where Wisconsin sits
The same service costs 3.2 times more in Hawaii 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· 5th of 51
$100
HI $166FL $52.48
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.