How much rates vary
Facilitymedian $105 · 10th to 90th $66 to $224Professionalmedian $98 · 10th to 90th $49 to $162
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $338.84 | Professional | None | $74.13 | $74.13 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $169.82 | Facility | None | $104.71 | $117.49 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $128.82 | Professional | None | $61.66 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $208.93 Typical High $436.52 | Facility | None | $66.07 | $208.93 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $194.98 | Professional | None | $48.98 | $74.13 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $33.11 Median $102.33 Typical High $117.49 | Facility | None | $33.11 | $102.33 | $117.49 |
DeanCare Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $169.82 | Professional | None | $112.20 | $162.18 | $169.82 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $537.03 | Facility | None | $51.29 | $102.33 | $537.03 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $144.54 | Professional | None | $46.77 | $64.57 | $144.54 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $177.83 | Professional | None | $74.13 | $95.50 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $102.33 Typical High $117.49 | Facility | None | $33.11 | $102.33 | $117.49 |
Prevea360 Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $123.03 | Professional | None | $58.88 | $102.33 | $123.03 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $257.04 | Professional | None | $104.71 | $154.88 | $257.04 |
Quartz Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $67.61 | Facility | None | $66.07 | $66.07 | $67.61 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
United Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $165.96 | Facility | None | $46.77 | $61.66 | $165.96 |
United Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $89.13 | Professional | None | $39.81 | $56.23 | $89.13 |
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 $37.15 Median $37.15 Typical High $169.82 | Professional | 52 · Reduced service | $37.15 | $37.15 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $67.61 | Professional | 53 · Discontinued | $14.79 | $14.79 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $50.12 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $33.88 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $33.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $30.20 | Professional | RR · Rental | $6.17 | $6.17 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | UE · Used equipment | $46.77 | $46.77 | $46.77 |
Where Wisconsin sits
The same service costs 2.7 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· 13th of 51
$97.72
HI $132FL $48.98
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.