How much rates vary
Facilitymedian $174 · 10th to 90th $95 to $380Professionalmedian $162 · 10th to 90th $71 to $263
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $263.03 | Professional | None | $89.13 | $125.89 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $199.53 Typical High $288.40 | Facility | None | $173.78 | $199.53 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $218.78 | Professional | None | $91.20 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $354.81 Typical High $426.58 | Facility | None | $97.72 | $354.81 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $331.13 | Professional | None | $70.79 | $107.15 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $169.82 Typical High $194.98 | Facility | None | $46.77 | $169.82 | $194.98 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $234.42 | Professional | None | $177.83 | $223.87 | $234.42 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $169.82 Typical High $758.58 | Facility | None | $87.10 | $169.82 | $758.58 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $223.87 | Professional | None | $69.18 | $102.33 | $223.87 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Network Health Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $302.00 | Professional | None | $123.03 | $162.18 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $46.77 Median $169.82 Typical High $194.98 | Facility | None | $46.77 | $169.82 | $194.98 |
Prevea360 Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $177.83 | Professional | None | $97.72 | $169.82 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $371.54 | Professional | None | $162.18 | $234.42 | $371.54 |
Quartz Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $107.15 | Facility | None | $95.50 | $97.72 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
The Alliance Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $363.08 | Professional | None | $141.25 | $218.78 | $363.08 |
United Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $239.88 | Facility | None | $79.43 | $89.13 | $239.88 |
United Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $147.91 | Professional | None | $57.54 | $85.11 | $147.91 |
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 $63.10 Median $63.10 Typical High $141.25 | Professional | 52 · Reduced service | $63.10 | $63.10 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $56.23 | Professional | 53 · Discontinued | $25.12 | $25.12 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $42.66 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $28.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | RR · Rental | $8.91 | $8.91 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | UE · Used equipment | $66.07 | $66.07 | $72.44 |
Where Wisconsin sits
The same service costs 2.8 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· 4th of 51
$162
HI $195FL $70.79
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.