How much rates vary
Facilitymedian $129 · 10th to 90th $71 to $295Professionalmedian $120 · 10th to 90th $52 to $195
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $316.23 | Professional | None | $93.33 | $93.33 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $213.80 | Facility | None | $128.82 | $147.91 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $128.82 Typical High $169.82 | Professional | None | $66.07 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $263.03 Typical High $549.54 | Facility | None | $70.79 | $263.03 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $245.47 | Professional | None | $51.29 | $75.86 | $245.47 |
DeanCare Setting Facility Modifier None Typical Low $36.31 Median $125.89 Typical High $147.91 | Facility | None | $36.31 | $125.89 | $147.91 |
DeanCare Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $162.18 | Professional | None | $125.89 | $151.36 | $162.18 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $588.84 | Facility | None | $64.57 | $125.89 | $588.84 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $165.96 | Professional | None | $56.23 | $81.28 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Network Health Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $223.87 | Professional | None | $91.20 | $120.23 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $125.89 Typical High $147.91 | Facility | None | $36.31 | $125.89 | $147.91 |
Prevea360 Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $125.89 | Professional | None | $72.44 | $123.03 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $288.40 | Professional | None | $125.89 | $181.97 | $288.40 |
Quartz Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | None | $102.33 | $120.23 | $120.23 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $109.65 | Professional | None | $44.67 | $63.10 | $109.65 |
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 $46.77 Median $46.77 Typical High $154.88 | Professional | 52 · Reduced service | $46.77 | $46.77 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $63.10 | Professional | 53 · Discontinued | $18.62 | $18.62 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $46.77 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $31.62 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $31.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $8.91 | Professional | RR · Rental | $6.61 | $6.61 | $8.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | UE · Used equipment | $50.12 | $50.12 | $53.70 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii 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
$120
HI $132DE $51.29
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.