How much rates vary
Facilitymedian $100 · 10th to 90th $71 to $229Professionalmedian $93 · 10th to 90th $49 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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $269.15 | Professional | None | $70.79 | $70.79 | $269.15 |
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 $52.48 Median $100.00 Typical High $123.03 | Professional | None | $52.48 | $100.00 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $204.17 Typical High $416.87 | Facility | None | $70.79 | $204.17 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $190.55 | Professional | None | $51.29 | $75.86 | $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 $97.72 Median $147.91 Typical High $154.88 | Professional | None | $97.72 | $147.91 | $154.88 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $97.72 Typical High $457.09 | Facility | None | $48.98 | $97.72 | $457.09 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $128.82 | Professional | None | $43.65 | $61.66 | $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 $91.20 Typical High $169.82 | Professional | None | $70.79 | $91.20 | $169.82 |
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 $95.50 Typical High $97.72 | Professional | None | $56.23 | $95.50 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $223.87 | Professional | None | $97.72 | $138.04 | $223.87 |
Quartz Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $83.18 | Professional | None | $33.88 | $48.98 | $83.18 |
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 $134.90 | Professional | 52 · Reduced service | $35.48 | $35.48 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $53.70 | Professional | 53 · Discontinued | $14.45 | $14.45 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $40.74 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $26.92 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.25 Typical High $6.92 | Professional | RR · Rental | $5.25 | $5.25 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | UE · Used equipment | $39.81 | $39.81 | $42.66 |
Where Wisconsin sits
The same service costs 2.0 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· 8th of 51
$93.33
HI $102WV $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.