How much rates vary
Facilitymedian $105 · 10th to 90th $58 to $240Professionalmedian $98 · 10th to 90th $43 to $158
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $295.12 | Professional | None | $74.13 | $74.13 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $173.78 | Facility | None | $104.71 | $120.23 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $131.83 | Professional | None | $53.70 | $104.71 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $213.80 Typical High $436.52 | Facility | None | $57.54 | $213.80 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $199.53 | Professional | None | $41.69 | $63.10 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $29.51 Median $102.33 Typical High $117.49 | Facility | None | $29.51 | $102.33 | $117.49 |
DeanCare Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | None | $102.33 | $117.49 | $125.89 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $478.63 | Facility | None | $51.29 | $102.33 | $478.63 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $134.90 | Professional | None | $45.71 | $64.57 | $134.90 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $177.83 | Professional | None | $74.13 | $95.50 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $102.33 Typical High $117.49 | Facility | None | $29.51 | $102.33 | $117.49 |
Prevea360 Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $102.33 | Professional | None | $58.88 | $100.00 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $234.42 | Professional | None | $102.33 | $147.91 | $234.42 |
Quartz Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | None | $81.28 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $87.10 | Professional | None | $35.48 | $51.29 | $87.10 |
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 $37.15 Median $37.15 Typical High $147.91 | Professional | 52 · Reduced service | $37.15 | $37.15 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $58.88 | Professional | 53 · Discontinued | $15.14 | $15.14 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $43.65 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $29.51 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $29.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $39.81 | Professional | RR · Rental | $5.37 | $5.37 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $39.81 | $40.74 | $40.74 |
Where Wisconsin sits
The same service costs 2.6 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
$97.72
MT $110DE $41.69
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.