How much rates vary
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $371.54 | Professional | None | $54.95 | $54.95 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $83.18 | Professional | None | $38.90 | $38.90 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $223.87 Typical High $338.84 | Facility | None | $38.02 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $117.49 | Professional | None | $27.54 | $38.02 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $97.72 | Facility | None | $40.74 | $75.86 | $97.72 |
DeanCare Setting Professional Modifier None Typical Low $97.72 Median $229.09 Typical High $234.42 | Professional | None | $97.72 | $229.09 | $234.42 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $91.20 Typical High $436.52 | Facility | None | $41.69 | $91.20 | $436.52 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $173.78 | Professional | None | $47.86 | $67.61 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $97.72 | Facility | None | $40.74 | $75.86 | $97.72 |
Prevea360 Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $169.82 Typical High $245.47 | Professional | None | $91.20 | $169.82 | $245.47 |
Quartz Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | None | $83.18 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $91.20 | Professional | None | $36.31 | $61.66 | $91.20 |
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 $27.54 Median $27.54 Typical High $186.21 | Professional | 52 · Reduced service | $27.54 | $27.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $74.13 | Professional | 53 · Discontinued | $10.96 | $10.96 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $56.23 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $37.15 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $37.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $4.17 | Professional | RR · Rental | $3.89 | $3.89 | $4.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Where Wisconsin sits
The same service costs 49.0 times more in North Dakota 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· 28th of 51
$54.95
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.