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 $0.11 Median $0.11 Typical High $0.11 | Facility | None | $0.11 | $0.11 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | None | $0.10 | $0.11 | $0.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.15 Median $0.17 Typical High $0.25 | Facility | None | $0.15 | $0.17 | $0.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.17 | Professional | None | $0.14 | $0.14 | $0.17 |
Cigna Setting Facility Modifier None Typical Low $0.89 Median $1.02 Typical High $1.51 | Facility | None | $0.89 | $1.02 | $1.51 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.15 Typical High $0.47 | Professional | None | $0.08 | $0.15 | $0.47 |
DeanCare Setting Facility Modifier None Typical Low $0.09 Median $0.15 Typical High $0.16 | Facility | None | $0.09 | $0.15 | $0.16 |
DeanCare Setting Professional Modifier None Typical Low $0.13 Median $0.25 Typical High $0.28 | Professional | None | $0.13 | $0.25 | $0.28 |
Medica Setting Facility Modifier None Typical Low $0.09 Median $0.15 Typical High $0.52 | Facility | None | $0.09 | $0.15 | $0.52 |
Medica Setting Professional Modifier None Typical Low $0.08 Median $0.10 Typical High $3.55 | Professional | None | $0.08 | $0.10 | $3.55 |
Network Health Setting Facility Modifier None Typical Low $0.27 Median $0.27 Typical High $0.27 | Facility | None | $0.27 | $0.27 | $0.27 |
Network Health Setting Professional Modifier None Typical Low $0.14 Median $0.15 Typical High $0.26 | Professional | None | $0.14 | $0.15 | $0.26 |
Prevea360 Setting Facility Modifier None Typical Low $0.09 Median $0.15 Typical High $0.16 | Facility | None | $0.09 | $0.15 | $0.16 |
Prevea360 Setting Professional Modifier None Typical Low $0.10 Median $0.15 Typical High $0.15 | Professional | None | $0.10 | $0.15 | $0.15 |
Quartz Setting Professional Modifier None Typical Low $0.18 Median $0.43 Typical High $0.85 | Professional | None | $0.18 | $0.43 | $0.85 |
Quartz Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Security Health Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Security Health Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.20 | Professional | None | $0.15 | $0.15 | $0.20 |
United Setting Professional Modifier None Typical Low $0.05 Median $0.08 Typical High $0.15 | Professional | None | $0.05 | $0.08 | $0.15 |
1 more rate 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 UE · Used equipment Typical Low $0.05 Median $0.16 Typical High $0.16 | Professional | UE · Used equipment | $0.05 | $0.16 | $0.16 |
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· 9th of 51
$0.14
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.