How much rates vary
Facilitymedian $107 · 10th to 90th $68 to $234Professionalmedian $100 · 10th to 90th $50 to $162
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $245.47 | Professional | None | $75.86 | $75.86 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $177.83 | Facility | None | $107.15 | $123.03 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $131.83 | Professional | None | $56.23 | $107.15 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $218.78 Typical High $446.68 | Facility | None | $67.61 | $218.78 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $204.17 | Professional | None | $50.12 | $75.86 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $30.20 Median $104.71 Typical High $120.23 | Facility | None | $30.20 | $104.71 | $120.23 |
DeanCare Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $141.25 | Professional | None | $104.71 | $131.83 | $141.25 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $489.78 | Facility | None | $52.48 | $104.71 | $489.78 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $138.04 | Professional | None | $46.77 | $66.07 | $138.04 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Network Health Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $181.97 | Professional | None | $75.86 | $97.72 | $181.97 |
Prevea360 Setting Facility Modifier None Typical Low $30.20 Median $104.71 Typical High $120.23 | Facility | None | $30.20 | $104.71 | $120.23 |
Prevea360 Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $104.71 | Professional | None | $60.26 | $102.33 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $239.88 | Professional | None | $104.71 | $151.36 | $239.88 |
Quartz Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $70.79 | Facility | None | $67.61 | $67.61 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | None | $83.18 | $97.72 | $97.72 |
The Alliance Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $154.88 | Facility | None | $32.36 | $60.26 | $154.88 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $89.13 | Professional | None | $36.31 | $52.48 | $89.13 |
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 $38.02 Median $38.02 Typical High $123.03 | Professional | 52 · Reduced service | $38.02 | $38.02 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $50.12 | Professional | 53 · Discontinued | $15.49 | $15.49 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $37.15 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $24.55 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $24.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $33.88 | Professional | RR · Rental | $5.62 | $5.62 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Where Wisconsin sits
The same service costs 2.1 times more in Montana 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· 9th of 51
$100
MT $107FL $50.12
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.