How much rates vary
Facilitymedian $78 · 10th to 90th $49 to $166Professionalmedian $72 · 10th to 90th $35 to $117
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $190.55 | Professional | None | $47.86 | $54.95 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $128.82 | Facility | None | $77.62 | $87.10 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $95.50 | Professional | None | $46.77 | $77.62 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $154.88 Typical High $323.59 | Facility | None | $48.98 | $154.88 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $53.70 Typical High $144.54 | Professional | None | $35.48 | $53.70 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $24.55 Median $75.86 Typical High $87.10 | Facility | None | $24.55 | $75.86 | $87.10 |
DeanCare Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $117.49 | Professional | None | $83.18 | $112.20 | $117.49 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $75.86 Typical High $398.11 | Facility | None | $38.02 | $75.86 | $398.11 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $100.00 | Professional | None | $34.67 | $47.86 | $100.00 |
Network Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Network Health Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $131.83 | Professional | None | $54.95 | $70.79 | $131.83 |
Prevea360 Setting Facility Modifier None Typical Low $24.55 Median $75.86 Typical High $87.10 | Facility | None | $24.55 | $75.86 | $87.10 |
Prevea360 Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $100.00 | Professional | None | $43.65 | $75.86 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $190.55 | Professional | None | $77.62 | $114.82 | $190.55 |
Quartz Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $51.29 | Facility | None | $48.98 | $48.98 | $51.29 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | None | $35.48 | $35.48 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | None | $60.26 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $123.03 | Facility | None | $50.12 | $64.57 | $123.03 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $67.61 | Professional | None | $29.51 | $38.02 | $67.61 |
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 $27.54 Median $27.54 Typical High $95.50 | Professional | 52 · Reduced service | $27.54 | $27.54 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $38.02 | Professional | 53 · Discontinued | $10.96 | $10.96 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $28.18 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $19.05 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $19.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $45.71 | Professional | RR · Rental | $4.57 | $4.57 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | UE · Used equipment | $33.88 | $33.88 | $44.67 |
Where Wisconsin sits
The same service costs 4.7 times more in Hawaii than in Delaware. 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· 10th of 51
$72.44
HI $166DE $35.48
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.