How much rates vary
Facilitymedian $95 · 10th to 90th $56 to $219Professionalmedian $89 · 10th to 90th $42 to $148
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $275.42 | Professional | None | $52.48 | $67.61 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $154.88 | Facility | None | $95.50 | $107.15 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $95.50 Typical High $123.03 | Professional | None | $51.29 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $398.11 | Facility | None | $56.23 | $190.55 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $177.83 | Professional | None | $41.69 | $64.57 | $177.83 |
DeanCare Setting Facility Modifier None Typical Low $26.92 Median $93.33 Typical High $107.15 | Facility | None | $26.92 | $93.33 | $107.15 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $158.49 | Professional | None | $93.33 | $151.36 | $158.49 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $436.52 | Facility | None | $46.77 | $93.33 | $436.52 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $120.23 | Professional | None | $40.74 | $57.54 | $120.23 |
Network Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Network Health Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $162.18 | Professional | None | $67.61 | $87.10 | $162.18 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $93.33 Typical High $107.15 | Facility | None | $26.92 | $93.33 | $107.15 |
Prevea360 Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $93.33 | Professional | None | $53.70 | $89.13 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $208.93 | Professional | None | $91.20 | $134.90 | $208.93 |
Quartz Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Facility | None | $56.23 | $56.23 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | None | $41.69 | $41.69 | $64.57 |
The Alliance Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $134.90 | Facility | None | $44.67 | $44.67 | $134.90 |
United Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $79.43 | Professional | None | $32.36 | $46.77 | $79.43 |
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 $33.88 Median $33.88 Typical High $162.18 | Professional | 52 · Reduced service | $33.88 | $33.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $64.57 | Professional | 53 · Discontinued | $13.49 | $13.49 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $47.86 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $32.36 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $32.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $4.90 Typical High $48.98 | Professional | RR · Rental | $4.90 | $4.90 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $48.98 | Professional | UE · Used equipment | $37.15 | $37.15 | $48.98 |
Where Wisconsin sits
The same service costs 2.6 times more in Kansas than in Arizona. 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
$89.13
KS $107AZ $41.69
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.