How much rates vary
Facilitymedian $62 · 10th to 90th $39 to $132Professionalmedian $58 · 10th to 90th $29 to $93
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $128.82 | Professional | None | $44.67 | $44.67 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $102.33 | Facility | None | $61.66 | $70.79 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $77.62 | Professional | None | $33.11 | $61.66 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $125.89 Typical High $257.04 | Facility | None | $38.90 | $125.89 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $117.49 | Professional | None | $28.84 | $43.65 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $60.26 Typical High $69.18 | Facility | None | $17.38 | $60.26 | $69.18 |
DeanCare Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $93.33 | Professional | None | $66.07 | $87.10 | $93.33 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $60.26 Typical High $295.12 | Facility | None | $30.20 | $60.26 | $295.12 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $79.43 | Professional | None | $24.55 | $38.02 | $79.43 |
Network Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Network Health Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $107.15 | Professional | None | $43.65 | $57.54 | $107.15 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $60.26 Typical High $69.18 | Facility | None | $17.38 | $60.26 | $69.18 |
Prevea360 Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $70.79 | Professional | None | $34.67 | $60.26 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $134.90 | Professional | None | $58.88 | $85.11 | $134.90 |
Quartz Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Facility | None | $38.90 | $38.90 | $40.74 |
Quartz Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | None | $47.86 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $87.10 | Facility | None | $35.48 | $51.29 | $87.10 |
United Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $52.48 | Professional | None | $20.89 | $30.20 | $52.48 |
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 $21.88 Median $21.88 Typical High $64.57 | Professional | 52 · Reduced service | $21.88 | $21.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $25.70 | Professional | 53 · Discontinued | $8.91 | $8.91 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $19.50 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $12.88 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $12.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $31.62 | Professional | RR · Rental | $3.24 | $3.24 | $31.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $25.12 Typical High $33.11 | Professional | UE · Used equipment | $23.99 | $25.12 | $33.11 |
Where Wisconsin sits
The same service costs 4.7 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· 11th of 51
$57.54
HI $132FL $28.18
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.