How much rates vary
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $144.54 | Professional | None | $33.11 | $64.57 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $102.33 Typical High $147.91 | Facility | None | $91.20 | $102.33 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $112.20 | Professional | None | $57.54 | $91.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $245.47 Typical High $380.19 | Facility | None | $58.88 | $245.47 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $72.44 Typical High $169.82 | Professional | None | $43.65 | $72.44 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $102.33 | Facility | None | $25.70 | $89.13 | $102.33 |
DeanCare Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | None | $107.15 | $125.89 | $131.83 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $416.87 | Facility | None | $44.67 | $89.13 | $416.87 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $446.68 | Professional | None | $41.69 | $63.10 | $446.68 |
Network Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Network Health Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $154.88 | Professional | None | $64.57 | $83.18 | $154.88 |
Prevea360 Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $102.33 | Facility | None | $25.70 | $89.13 | $102.33 |
Prevea360 Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | None | $51.29 | $51.29 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $204.17 | Professional | None | $89.13 | $125.89 | $204.17 |
Quartz Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | None | $43.65 | $43.65 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | None | $91.20 | $91.20 | $117.49 |
United Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $85.11 | Professional | None | $39.81 | $58.88 | $85.11 |
2 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $6.31 | Professional | RR · Rental | $5.75 | $5.75 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | UE · Used equipment | $43.65 | $43.65 | $46.77 |
Where Wisconsin sits
The same service costs 2.2 times more in Idaho 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· 8th of 51
$85.11
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.