How much rates vary
Facilitymedian $78 · 10th to 90th $51 to $170Professionalmedian $72 · 10th to 90th $38 to $120
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $213.80 | Professional | None | $56.23 | $56.23 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $128.82 | Facility | None | $77.62 | $89.13 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $100.00 | Professional | None | $47.86 | $77.62 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $158.49 Typical High $323.59 | Facility | None | $53.70 | $158.49 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $147.91 | Professional | None | $39.81 | $60.26 | $147.91 |
DeanCare Setting Facility Modifier None Typical Low $24.55 Median $75.86 Typical High $87.10 | Facility | None | $24.55 | $75.86 | $87.10 |
DeanCare Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $128.82 | Professional | None | $83.18 | $123.03 | $128.82 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $398.11 | Facility | None | $38.90 | $75.86 | $398.11 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $102.33 | Professional | None | $35.48 | $48.98 | $102.33 |
Network Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Network Health Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $134.90 | Professional | None | $54.95 | $72.44 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $24.55 Median $75.86 Typical High $87.10 | Facility | None | $24.55 | $75.86 | $87.10 |
Prevea360 Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $102.33 | Professional | None | $43.65 | $75.86 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $194.98 | Professional | None | $77.62 | $117.49 | $194.98 |
Quartz Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | None | $39.81 | $39.81 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | None | $60.26 | $72.44 | $72.44 |
United Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $123.03 | Facility | None | $47.86 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $67.61 | Professional | None | $29.51 | $38.90 | $67.61 |
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 $27.54 Median $27.54 Typical High $107.15 | Professional | 52 · Reduced service | $27.54 | $27.54 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $42.66 | Professional | 53 · Discontinued | $11.22 | $11.22 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $31.62 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $21.38 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $21.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $6.03 | Professional | RR · Rental | $4.57 | $4.57 | $6.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | UE · Used equipment | $34.67 | $34.67 | $37.15 |
Where Wisconsin sits
The same service costs 3.1 times more in Hawaii than in West Virginia. 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· 12th of 51
$72.44
HI $123WV $39.81
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.