How much rates vary
Facilitymedian $56 · 10th to 90th $35 to $123Professionalmedian $52 · 10th to 90th $26 to $87
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $107.15 | Professional | None | $54.95 | $54.95 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $93.33 | Facility | None | $56.23 | $64.57 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $69.18 | Professional | None | $33.11 | $56.23 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $114.82 Typical High $234.42 | Facility | None | $34.67 | $114.82 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $107.15 | Professional | None | $25.12 | $38.02 | $107.15 |
DeanCare Setting Facility Modifier None Typical Low $17.78 Median $54.95 Typical High $63.10 | Facility | None | $17.78 | $54.95 | $63.10 |
DeanCare Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $112.20 | Professional | None | $58.88 | $107.15 | $112.20 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $54.95 Typical High $281.84 | Facility | None | $28.18 | $54.95 | $281.84 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $363.08 | Professional | None | $25.70 | $39.81 | $363.08 |
Network Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Network Health Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $97.72 | Professional | None | $39.81 | $52.48 | $97.72 |
Prevea360 Setting Facility Modifier None Typical Low $17.78 Median $54.95 Typical High $63.10 | Facility | None | $17.78 | $54.95 | $63.10 |
Prevea360 Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $58.88 | Professional | None | $31.62 | $54.95 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $141.25 | Professional | None | $56.23 | $85.11 | $141.25 |
Quartz Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $37.15 | Facility | None | $34.67 | $34.67 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $34.67 | Professional | None | $25.12 | $25.12 | $34.67 |
United Setting Facility Modifier None Typical Low $27.54 Median $29.51 Typical High $91.20 | Facility | None | $27.54 | $29.51 | $91.20 |
United Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $48.98 | Professional | None | $22.91 | $37.15 | $48.98 |
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 $27.54 Median $27.54 Typical High $53.70 | Professional | 52 · Reduced service | $27.54 | $27.54 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $21.38 | Professional | 53 · Discontinued | $10.96 | $10.96 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $10.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $4.27 | Professional | RR · Rental | $3.31 | $3.31 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | UE · Used equipment | $25.12 | $25.12 | $26.92 |
Where Wisconsin sits
The same service costs 2.5 times more in Hawaii 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· 7th of 51
$54.95
HI $64.57DE $25.70
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.