How much rates vary
Facilitymedian $151 · 10th to 90th $100 to $331Professionalmedian $141 · 10th to 90th $74 to $229
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $281.84 | Professional | None | $107.15 | $107.15 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $251.19 | Facility | None | $151.36 | $173.78 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $190.55 | Professional | None | $75.86 | $151.36 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $309.03 Typical High $630.96 | Facility | None | $104.71 | $309.03 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $288.40 | Professional | None | $75.86 | $112.20 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $147.91 Typical High $169.82 | Facility | None | $40.74 | $147.91 | $169.82 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $199.53 | Professional | None | $162.18 | $186.21 | $199.53 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $147.91 Typical High $676.08 | Facility | None | $74.13 | $147.91 | $676.08 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $190.55 | Professional | None | $63.10 | $89.13 | $190.55 |
Network Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Network Health Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $257.04 | Professional | None | $107.15 | $138.04 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $147.91 Typical High $169.82 | Facility | None | $40.74 | $147.91 | $169.82 |
Prevea360 Setting Professional Modifier None Typical Low $85.11 Median $147.91 Typical High $169.82 | Professional | None | $85.11 | $147.91 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $323.59 | Professional | None | $141.25 | $204.17 | $323.59 |
Quartz Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | None | $75.86 | $75.86 | $104.71 |
United Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $208.93 | Facility | None | $75.86 | $85.11 | $208.93 |
United Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $125.89 | Professional | None | $50.12 | $74.13 | $125.89 |
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 $53.70 Median $53.70 Typical High $141.25 | Professional | 52 · Reduced service | $53.70 | $53.70 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $56.23 | Professional | 53 · Discontinued | $21.88 | $21.88 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $42.66 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $28.18 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $28.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.59 Median $7.59 Typical High $10.23 | Professional | RR · Rental | $7.59 | $7.59 | $10.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | UE · Used equipment | $57.54 | $57.54 | $61.66 |
Where Wisconsin sits
The same service costs 3.0 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· 5th of 51
$141
HI $204FL $67.61
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.