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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $123.03 | Professional | None | $32.36 | $32.36 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $52.48 Typical High $75.86 | Facility | None | $45.71 | $52.48 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $45.71 Typical High $57.54 | Professional | None | $28.18 | $45.71 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $125.89 Typical High $194.98 | Facility | None | $28.84 | $125.89 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $87.10 | Professional | None | $21.38 | $31.62 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $11.48 Median $45.71 Typical High $52.48 | Facility | None | $11.48 | $45.71 | $52.48 |
DeanCare Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $75.86 | Professional | None | $48.98 | $70.79 | $75.86 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $45.71 Typical High $213.80 | Facility | None | $19.95 | $45.71 | $213.80 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $223.87 | Professional | None | $19.95 | $28.18 | $223.87 |
Network Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Network Health Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $79.43 | Professional | None | $31.62 | $41.69 | $79.43 |
Prevea360 Setting Facility Modifier None Typical Low $11.48 Median $45.71 Typical High $52.48 | Facility | None | $11.48 | $45.71 | $52.48 |
Prevea360 Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $45.71 | Professional | None | $22.39 | $22.39 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $104.71 | Professional | None | $45.71 | $64.57 | $104.71 |
Quartz Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $30.90 | Professional | None | $21.38 | $21.38 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | None | $45.71 | $45.71 | $58.88 |
United Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $40.74 | Professional | None | $18.20 | $27.54 | $40.74 |
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 $2.82 Median $2.82 Typical High $3.24 | Professional | RR · Rental | $2.82 | $2.82 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | UE · Used equipment | $20.89 | $20.89 | $22.91 |
Where Wisconsin sits
The same service costs 2.2 times more in Montana 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· 10th of 51
$42.66
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.