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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $20.89 | Professional | None | $11.48 | $11.48 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $26.92 | Facility | None | $16.22 | $17.78 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $20.89 | Professional | None | $10.00 | $16.22 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $43.65 Typical High $67.61 | Facility | None | $9.33 | $43.65 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $26.92 | Professional | None | $6.61 | $7.76 | $26.92 |
DeanCare Setting Facility Modifier None Typical Low $4.37 Median $15.85 Typical High $18.20 | Facility | None | $4.37 | $15.85 | $18.20 |
DeanCare Setting Professional Modifier None Typical Low $17.38 Median $29.51 Typical High $30.90 | Professional | None | $17.38 | $29.51 | $30.90 |
Medica Setting Facility Modifier None Typical Low $7.76 Median $15.85 Typical High $79.43 | Facility | None | $7.76 | $15.85 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $79.43 | Professional | None | $7.24 | $10.00 | $79.43 |
Network Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Network Health Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $27.54 | Professional | None | $11.48 | $14.79 | $27.54 |
Prevea360 Setting Facility Modifier None Typical Low $4.37 Median $15.85 Typical High $18.20 | Facility | None | $4.37 | $15.85 | $18.20 |
Prevea360 Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | None | $9.12 | $9.12 | $15.85 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $33.88 | Professional | None | $14.79 | $21.38 | $33.88 |
Quartz Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $10.00 | Facility | None | $9.33 | $9.33 | $10.00 |
Quartz Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $9.33 | Professional | None | $6.61 | $7.76 | $9.33 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | None | $16.22 | $16.22 | $20.89 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $14.79 | Professional | None | $5.25 | $7.94 | $14.79 |
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 $1.00 Median $1.00 Typical High $1.12 | Professional | RR · Rental | $1.00 | $1.00 | $1.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $10.00 | Professional | UE · Used equipment | $7.59 | $7.59 | $10.00 |
Where Wisconsin sits
The same service costs 2.4 times more in Minnesota than in Delaware. 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
$15.14
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.