How much rates vary
Facilitymedian $55 · 10th to 90th $36 to $151Professionalmedian $51 · 10th to 90th $26 to $83
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $100.00 | Professional | None | $32.36 | $38.90 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $91.20 | Facility | None | $54.95 | $63.10 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $69.18 | Professional | None | $34.67 | $54.95 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $151.36 Typical High $229.09 | Facility | None | $36.31 | $151.36 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $104.71 | Professional | None | $26.30 | $43.65 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $15.85 Median $53.70 Typical High $61.66 | Facility | None | $15.85 | $53.70 | $61.66 |
DeanCare Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $79.43 | Professional | None | $58.88 | $75.86 | $79.43 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $53.70 Typical High $251.19 | Facility | None | $26.92 | $53.70 | $251.19 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $269.15 | Professional | None | $25.12 | $38.90 | $269.15 |
Network Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Network Health Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $95.50 | Professional | None | $38.90 | $51.29 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $15.85 Median $53.70 Typical High $61.66 | Facility | None | $15.85 | $53.70 | $61.66 |
Prevea360 Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | None | $30.90 | $30.90 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $123.03 | Professional | None | $53.70 | $77.62 | $123.03 |
Quartz Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | None | $26.30 | $26.30 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | None | $54.95 | $54.95 | $72.44 |
The Alliance Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $51.29 | Professional | None | $23.99 | $36.31 | $51.29 |
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 $3.47 Median $3.47 Typical High $3.89 | Professional | RR · Rental | $3.47 | $3.47 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | UE · Used equipment | $26.30 | $26.30 | $28.18 |
Where Wisconsin sits
The same service costs 2.2 times more in Idaho than in Utah. 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
$51.29
ID $57.54UT $26.30
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.