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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $131.83 | Professional | None | $50.12 | $50.12 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $117.49 | Facility | None | $70.79 | $77.62 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $91.20 | Professional | None | $44.67 | $70.79 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $194.98 Typical High $302.00 | Facility | None | $38.02 | $194.98 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $117.49 | Professional | None | $28.84 | $32.36 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $19.05 Median $69.18 Typical High $79.43 | Facility | None | $19.05 | $69.18 | $79.43 |
DeanCare Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $85.11 | Professional | None | $39.81 | $69.18 | $85.11 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $69.18 Typical High $331.13 | Facility | None | $33.88 | $69.18 | $331.13 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $346.74 | Professional | None | $32.36 | $44.67 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Network Health Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | None | $50.12 | $66.07 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $19.05 Median $69.18 Typical High $79.43 | Facility | None | $19.05 | $69.18 | $79.43 |
Prevea360 Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | None | $39.81 | $39.81 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $151.36 | Professional | None | $66.07 | $95.50 | $151.36 |
Quartz Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Facility | None | $38.02 | $38.02 | $40.74 |
Quartz Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.02 | Professional | None | $28.84 | $32.36 | $38.02 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | None | $70.79 | $70.79 | $93.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $64.57 | Professional | None | $23.44 | $34.67 | $64.57 |
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 $4.47 Median $4.47 Typical High $5.01 | Professional | RR · Rental | $4.47 | $4.47 | $5.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | UE · Used equipment | $33.11 | $33.11 | $36.31 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii than in Vermont. 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· 7th of 51
$66.07
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.