How much rates vary
Facilitymedian $51 · 10th to 90th $34 to $117Professionalmedian $48 · 10th to 90th $25 to $78
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $173.78 | Professional | None | $37.15 | $37.15 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $85.11 | Facility | None | $51.29 | $58.88 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $51.29 Typical High $64.57 | Professional | None | $27.54 | $51.29 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $104.71 Typical High $213.80 | Facility | None | $33.88 | $104.71 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $97.72 | Professional | None | $24.55 | $36.31 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $57.54 | Facility | None | $14.45 | $50.12 | $57.54 |
DeanCare Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $61.66 | Professional | None | $28.84 | $48.98 | $61.66 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $50.12 Typical High $234.42 | Facility | None | $25.70 | $50.12 | $234.42 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $66.07 | Professional | None | $22.39 | $32.36 | $66.07 |
Network Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Network Health Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $89.13 | Professional | None | $36.31 | $47.86 | $89.13 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $57.54 | Facility | None | $14.45 | $50.12 | $57.54 |
Prevea360 Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $50.12 | Professional | None | $28.84 | $48.98 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $114.82 | Professional | None | $50.12 | $72.44 | $114.82 |
Quartz Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | None | $24.55 | $24.55 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | None | $40.74 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $43.65 | Professional | None | $17.78 | $25.12 | $43.65 |
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 $18.62 Median $18.62 Typical High $85.11 | Professional | 52 · Reduced service | $18.62 | $18.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $34.67 | Professional | 53 · Discontinued | $7.41 | $7.41 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $25.70 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $17.38 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $17.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | RR · Rental | $2.75 | $2.75 | $3.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | UE · Used equipment | $20.42 | $20.42 | $22.39 |
Where Wisconsin sits
The same service costs 2.2 times more in Montana than in Arizona. 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
$47.86
MT $53.70AZ $24.55
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.