How much rates vary
Facilitymedian $141 · 10th to 90th $89 to $309Professionalmedian $132 · 10th to 90th $66 to $214
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $446.68 | Professional | None | $102.33 | $102.33 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $162.18 Typical High $234.42 | Facility | None | $141.25 | $162.18 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $173.78 | Professional | None | $85.11 | $141.25 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $288.40 Typical High $588.84 | Facility | None | $89.13 | $288.40 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $269.15 | Professional | None | $66.07 | $100.00 | $269.15 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $138.04 Typical High $158.49 | Facility | None | $44.67 | $138.04 | $158.49 |
DeanCare Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $186.21 | Professional | None | $79.43 | $138.04 | $186.21 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $138.04 Typical High $741.31 | Facility | None | $69.18 | $138.04 | $741.31 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $186.21 | Professional | None | $64.57 | $89.13 | $186.21 |
Network Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Network Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $239.88 | Professional | None | $100.00 | $131.83 | $239.88 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $138.04 Typical High $158.49 | Facility | None | $44.67 | $138.04 | $158.49 |
Prevea360 Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $186.21 | Professional | None | $79.43 | $138.04 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $354.81 | Professional | None | $141.25 | $213.80 | $354.81 |
Quartz Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $93.33 | Facility | None | $89.13 | $89.13 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | None | $66.07 | $66.07 | $89.13 |
United Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $223.87 | Facility | None | $93.33 | $114.82 | $223.87 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $123.03 | Professional | None | $53.70 | $70.79 | $123.03 |
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 $50.12 Median $50.12 Typical High $218.78 | Professional | 52 · Reduced service | $50.12 | $50.12 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $89.13 | Professional | 53 · Discontinued | $20.42 | $20.42 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $66.07 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $44.67 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $44.67 | Professional | RR · Rental | $8.51 | $8.51 | $44.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $53.70 | $63.10 | $63.10 |
Where Wisconsin sits
The same service costs 5.1 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· 14th of 51
$132
HI $339DE $66.07
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.