How much rates vary
Facilitymedian $32 · 10th to 90th $18 to $186Professionalmedian $32 · 10th to 90th $21 to $81
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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $144.54 | Professional | None | $23.44 | $23.44 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $162.18 Typical High $245.47 | Facility | None | $30.20 | $162.18 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $67.61 | Professional | None | $21.88 | $30.20 | $67.61 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $40.74 | Facility | None | $17.38 | $32.36 | $40.74 |
DeanCare Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $81.28 | Professional | None | $41.69 | $79.43 | $81.28 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $186.21 | Facility | None | $17.78 | $38.90 | $186.21 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $74.13 | Professional | None | $20.42 | $28.18 | $74.13 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $32.36 Typical High $40.74 | Facility | None | $17.38 | $32.36 | $40.74 |
Prevea360 Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $72.44 Typical High $104.71 | Professional | None | $38.90 | $72.44 | $104.71 |
Quartz Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $30.20 | Professional | None | $21.88 | $21.88 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | None | $69.18 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $38.90 | Professional | None | $15.49 | $26.30 | $38.90 |
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 $11.75 Median $11.75 Typical High $72.44 | Professional | 52 · Reduced service | $11.75 | $11.75 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $29.51 | Professional | 53 · Discontinued | $4.68 | $4.68 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $21.88 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $14.45 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $14.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $50.12 | Professional | RR · Rental | $5.01 | $5.01 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | UE · Used equipment | $38.02 | $38.02 | $50.12 |
Where Wisconsin sits
The same service costs 6.5 times more in Kansas than in Hawaii. 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· 23rd of 51
$32.36
KS $135HI $20.89
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.