How much rates vary
Facilitymedian $91 · 10th to 90th $55 to $209Professionalmedian $85 · 10th to 90th $40 to $135
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $218.78 | Professional | None | $64.57 | $64.57 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $102.33 Typical High $151.36 | Facility | None | $91.20 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $112.20 | Professional | None | $45.71 | $91.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $181.97 Typical High $380.19 | Facility | None | $54.95 | $181.97 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $169.82 | Professional | None | $39.81 | $60.26 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $24.55 Median $89.13 Typical High $102.33 | Facility | None | $24.55 | $89.13 | $102.33 |
DeanCare Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $125.89 | Professional | None | $97.72 | $120.23 | $125.89 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $416.87 | Facility | None | $44.67 | $89.13 | $416.87 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $114.82 | Professional | None | $38.02 | $54.95 | $114.82 |
Network Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Network Health Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $154.88 | Professional | None | $64.57 | $83.18 | $154.88 |
Prevea360 Setting Facility Modifier None Typical Low $24.55 Median $89.13 Typical High $102.33 | Facility | None | $24.55 | $89.13 | $102.33 |
Prevea360 Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $102.33 | Professional | None | $51.29 | $89.13 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $194.98 | Professional | None | $83.18 | $120.23 | $194.98 |
Quartz Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | None | $70.79 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $123.03 | Facility | None | $51.29 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $75.86 | Professional | None | $29.51 | $44.67 | $75.86 |
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 $32.36 Median $32.36 Typical High $109.65 | Professional | 52 · Reduced service | $32.36 | $32.36 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $43.65 | Professional | 53 · Discontinued | $12.88 | $12.88 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $33.11 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $21.88 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $21.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $45.71 | Professional | RR · Rental | $4.57 | $4.57 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | UE · Used equipment | $33.88 | $33.88 | $45.71 |
Where Wisconsin sits
The same service costs 3.5 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· 10th of 51
$85.11
HI $141WV $39.81
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.