How much rates vary
Facilitymedian $100 · 10th to 90th $66 to $219Professionalmedian $93 · 10th to 90th $48 to $151
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $288.40 | Professional | None | $72.44 | $72.44 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $165.96 | Facility | None | $100.00 | $114.82 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $125.89 | Professional | None | $54.95 | $100.00 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $416.87 | Facility | None | $66.07 | $204.17 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $190.55 | Professional | None | $47.86 | $72.44 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $28.18 Median $97.72 Typical High $112.20 | Facility | None | $28.18 | $97.72 | $112.20 |
DeanCare Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $154.88 | Professional | None | $107.15 | $147.91 | $154.88 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $478.63 | Facility | None | $50.12 | $97.72 | $478.63 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $128.82 | Professional | None | $40.74 | $58.88 | $128.82 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Network Health Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $173.78 | Professional | None | $70.79 | $93.33 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $97.72 Typical High $112.20 | Facility | None | $28.18 | $97.72 | $112.20 |
Prevea360 Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $117.49 | Professional | None | $56.23 | $97.72 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $223.87 | Professional | None | $97.72 | $141.25 | $223.87 |
Quartz Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
United Setting Facility Modifier None Typical Low $58.88 Median $60.26 Typical High $144.54 | Facility | None | $58.88 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $85.11 | Professional | None | $34.67 | $48.98 | $85.11 |
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 $36.31 Median $36.31 Typical High $144.54 | Professional | 52 · Reduced service | $36.31 | $36.31 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $57.54 | Professional | 53 · Discontinued | $14.45 | $14.45 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $43.65 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $28.84 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $28.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $30.20 | Professional | RR · Rental | $5.37 | $5.37 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $33.88 | $39.81 | $39.81 |
Where Wisconsin sits
The same service costs 3.6 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· 4th of 51
$93.33
HI $174FL $47.86
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.