How much rates vary
Facilitymedian $47 · 10th to 90th $27 to $107Professionalmedian $44 · 10th to 90th $20 to $71
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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $120.23 | Professional | None | $33.88 | $33.88 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $77.62 | Facility | None | $46.77 | $53.70 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $46.77 Typical High $57.54 | Professional | None | $23.99 | $46.77 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $95.50 Typical High $194.98 | Facility | None | $26.92 | $95.50 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $89.13 | Professional | None | $19.95 | $30.20 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $13.18 Median $45.71 Typical High $52.48 | Facility | None | $13.18 | $45.71 | $52.48 |
DeanCare Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $75.86 | Professional | None | $45.71 | $70.79 | $75.86 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $213.80 | Facility | None | $23.44 | $45.71 | $213.80 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $60.26 | Professional | None | $20.42 | $29.51 | $60.26 |
Network Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Network Health Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $81.28 | Professional | None | $33.11 | $43.65 | $81.28 |
Prevea360 Setting Facility Modifier None Typical Low $13.18 Median $45.71 Typical High $52.48 | Facility | None | $13.18 | $45.71 | $52.48 |
Prevea360 Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $45.71 | Professional | None | $26.30 | $44.67 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $104.71 | Professional | None | $45.71 | $64.57 | $104.71 |
Quartz Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Professional | None | $19.95 | $19.95 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | None | $36.31 | $43.65 | $43.65 |
The Alliance Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $39.81 | Professional | None | $16.22 | $22.91 | $39.81 |
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 $16.60 Median $16.60 Typical High $58.88 | Professional | 52 · Reduced service | $16.60 | $16.60 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $23.99 | Professional | 53 · Discontinued | $6.76 | $6.76 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $17.78 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $12.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $3.24 | Professional | RR · Rental | $2.45 | $2.45 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | UE · Used equipment | $18.20 | $18.20 | $19.50 |
Where Wisconsin sits
The same service costs 2.5 times more in Montana than in Delaware. 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
$43.65
MT $48.98DE $19.95
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.