How much rates vary
Facilitymedian $195 · 10th to 90th $117 to $417Professionalmedian $178 · 10th to 90th $85 to $288
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $446.68 | Professional | None | $138.04 | $138.04 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $316.23 | Facility | None | $194.98 | $218.78 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $239.88 | Professional | None | $97.72 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $389.05 Typical High $478.63 | Facility | None | $117.49 | $389.05 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $363.08 | Professional | None | $85.11 | $125.89 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $190.55 Typical High $218.78 | Facility | None | $48.98 | $190.55 | $218.78 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $251.19 | Professional | None | $190.55 | $234.42 | $251.19 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $794.33 | Facility | None | $95.50 | $190.55 | $794.33 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $245.47 | Professional | None | $72.44 | $114.82 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Network Health Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $331.13 | Professional | None | $138.04 | $177.83 | $331.13 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $190.55 Typical High $218.78 | Facility | None | $48.98 | $190.55 | $218.78 |
Prevea360 Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $190.55 | Professional | None | $109.65 | $186.21 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $380.19 | Professional | None | $165.96 | $257.04 | $380.19 |
Quartz Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | None | $85.11 | $85.11 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | None | $151.36 | $177.83 | $177.83 |
The Alliance Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $371.54 | Professional | None | $147.91 | $223.87 | $371.54 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $245.47 | Facility | None | $93.33 | $93.33 | $245.47 |
United Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $162.18 | Professional | None | $63.10 | $95.50 | $162.18 |
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 $69.18 Median $69.18 Typical High $223.87 | Professional | 52 · Reduced service | $69.18 | $69.18 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $89.13 | Professional | 53 · Discontinued | $27.54 | $27.54 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $67.61 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $44.67 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $12.02 | Professional | RR · Rental | $9.33 | $9.33 | $12.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | UE · Used equipment | $70.79 | $70.79 | $75.86 |
Where Wisconsin sits
The same service costs 2.4 times more in Hawaii than in Colorado. 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
$178
HI $204CO $85.11
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.