How much rates vary
Facilitymedian $178 · 10th to 90th $117 to $407Professionalmedian $162 · 10th to 90th $85 to $263
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $446.68 | Professional | None | $125.89 | $125.89 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $199.53 Typical High $288.40 | Facility | None | $177.83 | $199.53 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $177.83 Typical High $218.78 | Professional | None | $91.20 | $177.83 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $354.81 Typical High $741.31 | Facility | None | $117.49 | $354.81 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $331.13 | Professional | None | $85.11 | $128.82 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $199.53 | Facility | None | $50.12 | $173.78 | $199.53 |
DeanCare Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $229.09 | Professional | None | $173.78 | $218.78 | $229.09 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $173.78 Typical High $812.83 | Facility | None | $87.10 | $173.78 | $812.83 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $223.87 | Professional | None | $75.86 | $109.65 | $223.87 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Network Health Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $302.00 | Professional | None | $125.89 | $162.18 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $199.53 | Facility | None | $50.12 | $173.78 | $199.53 |
Prevea360 Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $173.78 | Professional | None | $100.00 | $169.82 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $389.05 | Professional | None | $169.82 | $245.47 | $389.05 |
Quartz Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | None | $85.11 | $85.11 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | None | $138.04 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $251.19 | Facility | None | $57.54 | $57.54 | $251.19 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $147.91 | Professional | None | $60.26 | $87.10 | $147.91 |
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 $63.10 Median $63.10 Typical High $223.87 | Professional | 52 · Reduced service | $63.10 | $63.10 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $89.13 | Professional | 53 · Discontinued | $25.12 | $25.12 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $67.61 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $44.67 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $44.67 |
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 $74.13 | Professional | UE · Used equipment | $69.18 | $69.18 | $74.13 |
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· 10th of 51
$162
MT $178FL $85.11
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.