How much rates vary
Facilitymedian $100 · 10th to 90th $71 to $219Professionalmedian $93 · 10th to 90th $49 to $158
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $169.82 | Professional | None | $61.66 | $70.79 | $169.82 |
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 $60.26 Median $100.00 Typical High $128.82 | Professional | None | $60.26 | $100.00 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $204.17 Typical High $416.87 | Facility | None | $72.44 | $204.17 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $190.55 | Professional | None | $52.48 | $79.43 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $97.72 Typical High $112.20 | Facility | None | $31.62 | $97.72 | $112.20 |
DeanCare Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $165.96 | Professional | None | $107.15 | $158.49 | $165.96 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $97.72 Typical High $562.34 | Facility | None | $48.98 | $97.72 | $562.34 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $131.83 | Professional | None | $44.67 | $64.57 | $131.83 |
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 $91.20 Typical High $169.82 | Professional | None | $70.79 | $91.20 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $97.72 Typical High $112.20 | Facility | None | $31.62 | $97.72 | $112.20 |
Prevea360 Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $131.83 | Professional | None | $56.23 | $97.72 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $245.47 | Professional | None | $100.00 | $151.36 | $245.47 |
Quartz Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | None | $52.48 | $52.48 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | None | $77.62 | $91.20 | $91.20 |
The Alliance Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $245.47 | Professional | None | $95.50 | $147.91 | $245.47 |
United Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $158.49 | Facility | None | $64.57 | $100.00 | $158.49 |
United Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $87.10 | Professional | None | $38.02 | $48.98 | $87.10 |
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 $35.48 Median $35.48 Typical High $85.11 | Professional | 52 · Reduced service | $35.48 | $35.48 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $33.88 | Professional | 53 · Discontinued | $14.13 | $14.13 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $25.70 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $16.98 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $16.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $7.76 | Professional | RR · Rental | $5.89 | $5.89 | $7.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | UE · Used equipment | $44.67 | $44.67 | $47.86 |
Where Wisconsin sits
The same service costs 5.0 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· 10th of 51
$93.33
HI $257FL $51.29
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.