How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $25.12 | Professional | None | $17.38 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $13.49 | Facility | None | $12.59 | $12.59 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $21.38 | Professional | None | $10.72 | $10.72 | $21.38 |
DeanCare Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $51.29 | Facility | None | $28.18 | $28.18 | $51.29 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $89.13 | Facility | None | $28.18 | $28.18 | $89.13 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $23.44 | Professional | None | $13.18 | $17.78 | $23.44 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $51.29 | Facility | None | $28.18 | $28.18 | $51.29 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Quartz Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $13.49 | Facility | None | $12.59 | $12.59 | $13.49 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | None | $10.72 | $10.72 | $12.59 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $23.44 | Professional | None | $10.96 | $17.78 | $23.44 |
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 $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.69 | Professional | RR · Rental | $2.51 | $2.51 | $2.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $18.62 | $18.62 | $18.62 |
Where Wisconsin sits
The same service costs 3.5 times more in North Dakota than in Oklahoma. 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· 19th of 51
$21.38
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.