How much rates vary
Facilitymedian $155 · 10th to 90th $98 to $331Professionalmedian $148 · 10th to 90th $72 to $229
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | None | $151.36 | $151.36 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $177.83 Typical High $257.04 | Facility | None | $154.88 | $177.83 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $199.53 | Professional | None | $102.33 | $154.88 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $645.65 | Facility | None | $97.72 | $316.23 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $295.12 | Professional | None | $72.44 | $109.65 | $295.12 |
DeanCare Setting Facility Modifier None Typical Low $43.65 Median $151.36 Typical High $173.78 | Facility | None | $43.65 | $151.36 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $199.53 | Professional | None | $151.36 | $169.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $707.95 | Facility | None | $75.86 | $151.36 | $707.95 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $194.98 | Professional | None | $67.61 | $102.33 | $194.98 |
Network Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Network Health Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $263.03 | Professional | None | $109.65 | $141.25 | $263.03 |
Prevea360 Setting Facility Modifier None Typical Low $43.65 Median $151.36 Typical High $173.78 | Facility | None | $43.65 | $151.36 | $173.78 |
Prevea360 Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $151.36 | Professional | None | $87.10 | $147.91 | $151.36 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $338.84 | Professional | None | $147.91 | $218.78 | $338.84 |
Quartz Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $128.82 | Professional | None | $61.66 | $93.33 | $128.82 |
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 $22.91 Median $22.91 Typical High $32.36 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $21.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $22.91 | Professional | RR · Rental | $10.23 | $10.23 | $22.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | UE · Used equipment | $75.86 | $75.86 | $81.28 |
Where Wisconsin sits
The same service costs 4.2 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· 7th of 51
$151
KS $302DE $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.