How much rates vary
Facilitymedian $166 · 10th to 90th $107 to $380Professionalmedian $155 · 10th to 90th $78 to $245
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $380.19 | Professional | None | $117.49 | $117.49 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $275.42 | Facility | None | $165.96 | $186.21 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $204.17 | Professional | None | $81.28 | $165.96 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $331.13 Typical High $691.83 | Facility | None | $107.15 | $331.13 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $316.23 | Professional | None | $77.62 | $117.49 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $42.66 Median $162.18 Typical High $186.21 | Facility | None | $42.66 | $162.18 | $186.21 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $213.80 | Professional | None | $177.83 | $204.17 | $213.80 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $162.18 Typical High $724.44 | Facility | None | $81.28 | $162.18 | $724.44 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $208.93 | Professional | None | $63.10 | $97.72 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Network Health Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $281.84 | Professional | None | $117.49 | $151.36 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $42.66 Median $162.18 Typical High $186.21 | Facility | None | $42.66 | $162.18 | $186.21 |
Prevea360 Setting Professional Modifier None Typical Low $93.33 Median $162.18 Typical High $177.83 | Professional | None | $93.33 | $162.18 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $338.84 | Professional | None | $147.91 | $218.78 | $338.84 |
Quartz Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Facility | None | $107.15 | $107.15 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | None | $128.82 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $89.13 Median $218.78 Typical High $870.96 | Facility | None | $89.13 | $218.78 | $870.96 |
United Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $138.04 | Professional | None | $53.70 | $81.28 | $138.04 |
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 $58.88 Median $58.88 Typical High $190.55 | Professional | 52 · Reduced service | $58.88 | $58.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $75.86 | Professional | 53 · Discontinued | $23.44 | $23.44 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $56.23 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $38.02 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | RR · Rental | $7.94 | $7.94 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Where Wisconsin sits
The same service costs 5.1 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
$155
HI $355FL $69.18
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.