How much rates vary
Facilitymedian $81 · 10th to 90th $44 to $191Professionalmedian $76 · 10th to 90th $33 to $123
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 $58.88 Median $58.88 Typical High $67.61 | Facility | None | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $109.65 | Professional | None | $41.69 | $58.88 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $93.33 Typical High $134.90 | Facility | None | $81.28 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $81.28 Typical High $102.33 | Professional | None | $39.81 | $81.28 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $165.96 Typical High $346.74 | Facility | None | $45.71 | $165.96 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $154.88 | Professional | None | $33.11 | $45.71 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $21.38 Median $81.28 Typical High $93.33 | Facility | None | $21.38 | $81.28 | $93.33 |
DeanCare Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $112.20 | Professional | None | $87.10 | $107.15 | $112.20 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $72.44 Typical High $354.81 | Facility | None | $21.38 | $72.44 | $354.81 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $97.72 | Professional | None | $30.20 | $47.86 | $97.72 |
Network Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Network Health Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $141.25 | Professional | None | $57.54 | $75.86 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $21.38 Median $81.28 Typical High $93.33 | Facility | None | $21.38 | $81.28 | $93.33 |
Prevea360 Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $87.10 | Professional | None | $45.71 | $81.28 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $165.96 | Professional | None | $72.44 | $107.15 | $165.96 |
Quartz Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None | $33.11 | $33.11 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None | $64.57 | $75.86 | $75.86 |
The Alliance Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $165.96 | Professional | None | $64.57 | $97.72 | $165.96 |
United Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $107.15 | Facility | None | $43.65 | $52.48 | $107.15 |
United Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $69.18 | Professional | None | $26.92 | $39.81 | $69.18 |
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 $29.51 Median $29.51 Typical High $54.95 | Professional | 52 · Reduced service | $29.51 | $29.51 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $21.88 | Professional | 53 · Discontinued | $11.75 | $11.75 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $16.22 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $10.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.98 Median $3.98 Typical High $5.37 | Professional | RR · Rental | $3.98 | $3.98 | $5.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $32.36 | Professional | UE · Used equipment | $30.20 | $30.20 | $32.36 |
Where Wisconsin sits
The same service costs 3.8 times more in Hawaii 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· 5th of 51
$75.86
HI $126FL $33.11
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.