How much rates vary
Facilitymedian $117 · 10th to 90th $65 to $269Professionalmedian $110 · 10th to 90th $48 to $178
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $257.04 | Professional | None | $85.11 | $85.11 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $194.98 | Facility | None | $117.49 | $134.90 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $154.88 | Professional | None | $64.57 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $239.88 Typical High $501.19 | Facility | None | $64.57 | $239.88 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $223.87 | Professional | None | $46.77 | $72.44 | $223.87 |
DeanCare Setting Facility Modifier None Typical Low $33.11 Median $114.82 Typical High $131.83 | Facility | None | $33.11 | $114.82 | $131.83 |
DeanCare Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $158.49 | Professional | None | $114.82 | $151.36 | $158.49 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $114.82 Typical High $537.03 | Facility | None | $58.88 | $114.82 | $537.03 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $151.36 | Professional | None | $51.29 | $74.13 | $151.36 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $204.17 | Professional | None | $83.18 | $109.65 | $204.17 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $114.82 Typical High $131.83 | Facility | None | $33.11 | $114.82 | $131.83 |
Prevea360 Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $114.82 | Professional | None | $66.07 | $112.20 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $263.03 | Professional | None | $114.82 | $165.96 | $263.03 |
Quartz Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | None | $46.77 | $46.77 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | None | $93.33 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $100.00 | Professional | None | $40.74 | $57.54 | $100.00 |
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 $42.66 Median $42.66 Typical High $128.82 | Professional | 52 · Reduced service | $42.66 | $42.66 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $51.29 | Professional | 53 · Discontinued | $16.98 | $16.98 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $38.90 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $25.70 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $25.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $8.13 | Professional | RR · Rental | $6.31 | $6.31 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | UE · Used equipment | $46.77 | $46.77 | $51.29 |
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· 8th of 51
$110
HI $120DE $46.77
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.