How much rates vary
Facilitymedian $126 · 10th to 90th $83 to $288Professionalmedian $117 · 10th to 90th $62 to $195
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $275.42 | Professional | None | $70.79 | $91.20 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $208.93 | Facility | None | $125.89 | $144.54 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $125.89 Typical High $158.49 | Professional | None | $69.18 | $125.89 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $257.04 Typical High $309.03 | Facility | None | $85.11 | $257.04 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $239.88 | Professional | None | $64.57 | $89.13 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $123.03 Typical High $141.25 | Facility | None | $35.48 | $123.03 | $141.25 |
DeanCare Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $194.98 | Professional | None | $134.90 | $186.21 | $194.98 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $588.84 | Facility | None | $63.10 | $123.03 | $588.84 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $162.18 | Professional | None | $52.48 | $74.13 | $162.18 |
Network Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $218.78 | Professional | None | $89.13 | $117.49 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $35.48 Median $123.03 Typical High $141.25 | Facility | None | $35.48 | $123.03 | $141.25 |
Prevea360 Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $147.91 | Professional | None | $70.79 | $123.03 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $281.84 | Professional | None | $123.03 | $177.83 | $281.84 |
Quartz Setting Facility Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13 | Facility | None | $85.11 | $89.13 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None | $64.57 | $64.57 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None | $100.00 | $117.49 | $117.49 |
The Alliance Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $275.42 | Professional | None | $107.15 | $165.96 | $275.42 |
United Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $181.97 | Facility | None | $72.44 | $75.86 | $181.97 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $107.15 | Professional | None | $43.65 | $61.66 | $107.15 |
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 $45.71 Median $45.71 Typical High $162.18 | Professional | 52 · Reduced service | $45.71 | $45.71 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $64.57 | Professional | 53 · Discontinued | $18.20 | $18.20 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $47.86 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $32.36 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $32.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $8.91 | Professional | RR · Rental | $6.76 | $6.76 | $8.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | UE · Used equipment | $51.29 | $51.29 | $54.95 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$117
HI $166DC $58.88
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.