How much rates vary
Facilitymedian $29 · 10th to 90th $16 to $66Professionalmedian $27 · 10th to 90th $12 to $44
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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $77.62 | Professional | None | $20.89 | $20.89 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $33.11 Typical High $47.86 | Facility | None | $28.84 | $33.11 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $28.84 Typical High $37.15 | Professional | None | $15.49 | $28.84 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $57.54 Typical High $123.03 | Facility | None | $15.85 | $57.54 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $17.38 Typical High $54.95 | Professional | None | $11.48 | $17.38 | $54.95 |
DeanCare Setting Facility Modifier None Typical Low $8.13 Median $28.18 Typical High $32.36 | Facility | None | $8.13 | $28.18 | $32.36 |
DeanCare Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $42.66 | Professional | None | $28.18 | $39.81 | $42.66 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $28.18 Typical High $131.83 | Facility | None | $14.45 | $28.18 | $131.83 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $37.15 | Professional | None | $12.59 | $17.38 | $37.15 |
Network Health Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Network Health Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $50.12 | Professional | None | $20.42 | $26.92 | $50.12 |
Prevea360 Setting Facility Modifier None Typical Low $8.13 Median $28.18 Typical High $32.36 | Facility | None | $8.13 | $28.18 | $32.36 |
Prevea360 Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $28.18 | Professional | None | $16.22 | $26.92 | $28.18 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $63.10 | Professional | None | $27.54 | $39.81 | $63.10 |
Quartz Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $17.38 | Facility | None | $15.85 | $15.85 | $17.38 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $15.85 | Professional | None | $11.48 | $11.48 | $15.85 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | None | $22.39 | $26.92 | $26.92 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $41.69 | Facility | None | $13.49 | $13.49 | $41.69 |
United Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $24.55 | Professional | None | $9.77 | $14.13 | $24.55 |
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 $10.23 Median $10.23 Typical High $38.90 | Professional | 52 · Reduced service | $10.23 | $10.23 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $15.49 | Professional | 53 · Discontinued | $4.17 | $4.17 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.09 Typical High $11.48 | Professional | 55 · Aftercare only | $3.09 | $3.09 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $7.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.55 Median $1.55 Typical High $2.00 | Professional | RR · Rental | $1.55 | $1.55 | $2.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | UE · Used equipment | $11.48 | $11.48 | $12.59 |
Where Wisconsin sits
The same service costs 5.5 times more in Kansas 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
$26.92
KS $63.10DE $11.48
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.