How much rates vary
Facilitymedian $214 · 10th to 90th $141 to $490Professionalmedian $200 · 10th to 90th $102 to $324
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $338.84 | Professional | None | $125.89 | $154.88 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $354.81 | Facility | None | $213.80 | $245.47 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $275.42 | Professional | None | $117.49 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $436.52 Typical High $891.25 | Facility | None | $141.25 | $436.52 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $407.38 | Professional | None | $102.33 | $154.88 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $208.93 Typical High $239.88 | Facility | None | $60.26 | $208.93 | $239.88 |
DeanCare Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $331.13 | Professional | None | $208.93 | $316.23 | $331.13 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $208.93 Typical High $977.24 | Facility | None | $104.71 | $208.93 | $977.24 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $251.19 | Professional | None | $93.33 | $134.90 | $251.19 |
Network Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Network Health Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Professional | None | $151.36 | $199.53 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $208.93 Typical High $239.88 | Facility | None | $60.26 | $208.93 | $239.88 |
Prevea360 Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $208.93 | Professional | None | $120.23 | $204.17 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $478.63 | Professional | None | $208.93 | $302.00 | $478.63 |
Quartz Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | None | $165.96 | $194.98 | $194.98 |
The Alliance Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $467.74 | Professional | None | $181.97 | $281.84 | $467.74 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $181.97 | Professional | None | $72.44 | $104.71 | $181.97 |
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 $75.86 Median $75.86 Typical High $169.82 | Professional | 52 · Reduced service | $75.86 | $75.86 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $67.61 | Professional | 53 · Discontinued | $30.90 | $30.90 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $33.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $114.82 | Professional | RR · Rental | $11.48 | $11.48 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | UE · Used equipment | $85.11 | $85.11 | $112.20 |
Where Wisconsin sits
The same service costs 2.0 times more in Wyoming than in New Jersey. 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
$200
WY $209NJ $102
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.