How much rates vary
Facilitymedian $107 · 10th to 90th $69 to $234Professionalmedian $100 · 10th to 90th $50 to $166
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $309.03 | Professional | None | $77.62 | $77.62 | $309.03 |
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 $66.07 Median $107.15 Typical High $134.90 | Professional | None | $66.07 | $107.15 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $218.78 Typical High $457.09 | Facility | None | $69.18 | $218.78 | $457.09 |
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 $33.88 Median $104.71 Typical High $123.03 | Facility | None | $33.88 | $104.71 | $123.03 |
DeanCare Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $186.21 | Professional | None | $114.82 | $177.83 | $186.21 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $104.71 Typical High $588.84 | Facility | None | $53.70 | $104.71 | $588.84 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $141.25 | Professional | None | $48.98 | $67.61 | $141.25 |
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 $100.00 Typical High $186.21 | Professional | None | $75.86 | $100.00 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $33.88 Median $104.71 Typical High $123.03 | Facility | None | $33.88 | $104.71 | $123.03 |
Prevea360 Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $141.25 | Professional | None | $60.26 | $104.71 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $269.15 | Professional | None | $107.15 | $162.18 | $269.15 |
Quartz Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Facility | None | $69.18 | $69.18 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | None | $50.12 | $50.12 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | None | $85.11 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $173.78 | Facility | None | $70.79 | $83.18 | $173.78 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $93.33 | Professional | None | $41.69 | $53.70 | $93.33 |
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 $38.90 Median $38.90 Typical High $154.88 | Professional | 52 · Reduced service | $38.90 | $38.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $61.66 | Professional | 53 · Discontinued | $15.49 | $15.49 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $46.77 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $30.90 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $6.46 Typical High $8.51 | Professional | RR · Rental | $6.46 | $6.46 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | UE · Used equipment | $47.86 | $47.86 | $52.48 |
Where Wisconsin sits
The same service costs 4.4 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· 9th of 51
$100
HI $219FL $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.