How much rates vary
Facilitymedian $79 · 10th to 90th $50 to $174Professionalmedian $74 · 10th to 90th $37 to $123
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $144.54 | Professional | None | $77.62 | $77.62 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $131.83 | Facility | None | $79.43 | $91.20 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $97.72 | Professional | None | $51.29 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $162.18 Typical High $331.13 | Facility | None | $50.12 | $162.18 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $151.36 | Professional | None | $37.15 | $56.23 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $25.12 Median $77.62 Typical High $89.13 | Facility | None | $25.12 | $77.62 | $89.13 |
DeanCare Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $131.83 | Professional | None | $85.11 | $125.89 | $131.83 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $407.38 | Facility | None | $38.90 | $77.62 | $407.38 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $489.78 | Professional | None | $36.31 | $56.23 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Network Health Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $134.90 | Professional | None | $56.23 | $72.44 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $25.12 Median $77.62 Typical High $89.13 | Facility | None | $25.12 | $77.62 | $89.13 |
Prevea360 Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | None | $44.67 | $44.67 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $194.98 | Professional | None | $79.43 | $120.23 | $194.98 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | None | $37.15 | $37.15 | $50.12 |
United Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $125.89 | Facility | None | $32.36 | $38.90 | $125.89 |
United Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $69.18 | Professional | None | $32.36 | $51.29 | $69.18 |
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 $38.90 Median $38.90 Typical High $72.44 | Professional | 52 · Reduced service | $38.90 | $38.90 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $28.84 | Professional | 53 · Discontinued | $15.49 | $15.49 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $21.38 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $14.45 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $14.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.17 | Professional | RR · Rental | $5.13 | $5.13 | $6.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | UE · Used equipment | $38.02 | $38.02 | $41.69 |
Where Wisconsin sits
The same service costs 2.1 times more in Arkansas than in Colorado. 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· 7th of 51
$77.62
AR $85.11CO $39.81
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.