How much rates vary
Facilitymedian $158 · 10th to 90th $100 to $339Professionalmedian $151 · 10th to 90th $72 to $234
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $275.42 | Professional | None | $154.88 | $154.88 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $263.03 | Facility | None | $158.49 | $177.83 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $194.98 | Professional | None | $95.50 | $158.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $660.69 | Facility | None | $100.00 | $323.59 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $302.00 | Professional | None | $72.44 | $109.65 | $302.00 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $154.88 Typical High $177.83 | Facility | None | $44.67 | $154.88 | $177.83 |
DeanCare Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $239.88 | Professional | None | $154.88 | $223.87 | $239.88 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $724.44 | Facility | None | $77.62 | $154.88 | $724.44 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $776.25 | Professional | None | $72.44 | $104.71 | $776.25 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $269.15 | Professional | None | $112.20 | $144.54 | $269.15 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $154.88 Typical High $177.83 | Facility | None | $44.67 | $154.88 | $177.83 |
Prevea360 Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $154.88 | Professional | None | $89.13 | $151.36 | $154.88 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $346.74 | Professional | None | $151.36 | $218.78 | $346.74 |
Quartz Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | None | $123.03 | $144.54 | $144.54 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $131.83 | Professional | None | $57.54 | $100.00 | $131.83 |
4 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 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $41.69 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | RR · Rental | $9.33 | $9.33 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | UE · Used equipment | $69.18 | $69.18 | $75.86 |
Where Wisconsin sits
The same service costs 2.2 times more in Montana 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· 3rd of 51
$155
MT $158FL $72.44
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.