How much rates vary
Facilitymedian $102 · 10th to 90th $54 to $219Professionalmedian $95 · 10th to 90th $46 to $158
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $398.11 | Professional | None | $70.79 | $72.44 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $169.82 | Facility | None | $102.33 | $117.49 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $128.82 | Professional | None | $50.12 | $102.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $199.53 Typical High $426.58 | Facility | None | $53.70 | $199.53 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $194.98 | Professional | None | $38.90 | $60.26 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $114.82 | Facility | None | $50.12 | $100.00 | $114.82 |
DeanCare Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $123.03 | Professional | None | $100.00 | $109.65 | $123.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $100.00 Typical High $457.09 | Facility | None | $54.95 | $100.00 | $457.09 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $128.82 | Professional | None | $45.71 | $64.57 | $128.82 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $251.19 | Professional | None | $89.13 | $125.89 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $114.82 | Facility | None | $50.12 | $100.00 | $114.82 |
Prevea360 Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $114.82 | Professional | None | $100.00 | $100.00 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $218.78 | Professional | None | $95.50 | $154.88 | $218.78 |
Quartz Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $53.70 | Professional | None | $38.90 | $38.90 | $53.70 |
The Alliance Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $213.80 | Professional | None | $112.20 | $165.96 | $213.80 |
United Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $141.25 | Facility | None | $16.98 | $39.81 | $141.25 |
United Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $85.11 | Professional | None | $33.88 | $50.12 | $85.11 |
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 $36.31 Median $36.31 Typical High $234.42 | Professional | 52 · Reduced service | $36.31 | $36.31 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $95.50 | Professional | 53 · Discontinued | $14.45 | $14.45 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $70.79 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $47.86 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $6.92 | Professional | RR · Rental | $5.01 | $5.01 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $38.02 | $38.02 | $40.74 |
Where Wisconsin sits
The same service costs 3.3 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· 6th of 51
$95.50
HI $135DE $40.74
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.