How much rates vary
Facilitymedian $93 · 10th to 90th $58 to $219Professionalmedian $87 · 10th to 90th $42 to $141
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $204.17 | Professional | None | $67.61 | $67.61 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $107.15 Typical High $154.88 | Facility | None | $93.33 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $93.33 Typical High $123.03 | Professional | None | $47.86 | $93.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $190.55 Typical High $389.05 | Facility | None | $57.54 | $190.55 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $177.83 | Professional | None | $41.69 | $61.66 | $177.83 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $91.20 Typical High $104.71 | Facility | None | $26.30 | $91.20 | $104.71 |
DeanCare Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $144.54 | Professional | None | $91.20 | $138.04 | $144.54 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $426.58 | Facility | None | $46.77 | $91.20 | $426.58 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $120.23 | Professional | None | $40.74 | $58.88 | $120.23 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Network Health Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $162.18 | Professional | None | $66.07 | $87.10 | $162.18 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $91.20 Typical High $104.71 | Facility | None | $26.30 | $91.20 | $104.71 |
Prevea360 Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $91.20 | Professional | None | $52.48 | $89.13 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $208.93 | Professional | None | $91.20 | $131.83 | $208.93 |
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 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $79.43 | Professional | None | $32.36 | $45.71 | $79.43 |
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 $33.88 Median $33.88 Typical High $102.33 | Professional | 52 · Reduced service | $33.88 | $33.88 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $40.74 | Professional | 53 · Discontinued | $13.49 | $13.49 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $30.90 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $20.42 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $20.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.79 Median $4.79 Typical High $6.46 | Professional | RR · Rental | $4.79 | $4.79 | $6.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | UE · Used equipment | $36.31 | $36.31 | $47.86 |
Where Wisconsin sits
The same service costs 2.3 times more in Montana than in Florida. 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· 8th of 51
$87.10
MT $97.72FL $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.