How much rates vary
Facilitymedian $182 · 10th to 90th $98 to $389Professionalmedian $170 · 10th to 90th $71 to $269
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $354.81 | Professional | None | $128.82 | $128.82 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $295.12 | Facility | None | $181.97 | $204.17 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $181.97 Typical High $223.87 | Professional | None | $93.33 | $181.97 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $363.08 Typical High $758.58 | Facility | None | $97.72 | $363.08 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $338.84 | Professional | None | $70.79 | $109.65 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $177.83 Typical High $204.17 | Facility | None | $48.98 | $177.83 | $204.17 |
DeanCare Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $251.19 | Professional | None | $194.98 | $234.42 | $251.19 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $812.83 | Facility | None | $89.13 | $177.83 | $812.83 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $229.09 | Professional | None | $70.79 | $107.15 | $229.09 |
Network Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Network Health Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $309.03 | Professional | None | $128.82 | $165.96 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $177.83 Typical High $204.17 | Facility | None | $48.98 | $177.83 | $204.17 |
Prevea360 Setting Professional Modifier None Typical Low $102.33 Median $177.83 Typical High $199.53 | Professional | None | $102.33 | $177.83 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $380.19 | Professional | None | $165.96 | $239.88 | $380.19 |
Quartz Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | None | $141.25 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $245.47 | Facility | None | $95.50 | $100.00 | $245.47 |
United Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $151.36 | Professional | None | $58.88 | $89.13 | $151.36 |
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 $64.57 Median $64.57 Typical High $177.83 | Professional | 52 · Reduced service | $64.57 | $64.57 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $70.79 | Professional | 53 · Discontinued | $25.70 | $25.70 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $53.70 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $35.48 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $35.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $12.30 | Professional | RR · Rental | $9.12 | $9.12 | $12.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
Where Wisconsin sits
The same service costs 3.2 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· 6th of 51
$170
HI $224FL $70.79
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.