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 $0.68 Median $0.68 Typical High $0.68 | Facility | None | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $3.02 | Professional | None | $0.68 | $0.68 | $3.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.98 Median $1.07 Typical High $1.58 | Facility | None | $0.98 | $1.07 | $1.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.62 Median $0.98 Typical High $1.26 | Professional | None | $0.62 | $0.98 | $1.26 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $2.69 Typical High $4.17 | Facility | None | $0.58 | $2.69 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.71 Typical High $1.82 | Professional | None | $0.49 | $0.71 | $1.82 |
DeanCare Setting Facility Modifier None Typical Low $0.26 Median $0.95 Typical High $1.10 | Facility | None | $0.26 | $0.95 | $1.10 |
DeanCare Setting Professional Modifier None Typical Low $1.05 Median $1.82 Typical High $1.91 | Professional | None | $1.05 | $1.82 | $1.91 |
Medica Setting Facility Modifier None Typical Low $0.46 Median $0.95 Typical High $79.43 | Facility | None | $0.46 | $0.95 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.43 Median $0.60 Typical High $4.68 | Professional | None | $0.43 | $0.60 | $4.68 |
Network Health Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
Network Health Setting Professional Modifier None Typical Low $0.68 Median $0.89 Typical High $1.66 | Professional | None | $0.68 | $0.89 | $1.66 |
Prevea360 Setting Facility Modifier None Typical Low $0.26 Median $0.95 Typical High $1.10 | Facility | None | $0.26 | $0.95 | $1.10 |
Prevea360 Setting Professional Modifier None Typical Low $0.54 Median $0.54 Typical High $0.95 | Professional | None | $0.54 | $0.54 | $0.95 |
Quartz Setting Professional Modifier None Typical Low $0.89 Median $1.29 Typical High $1.82 | Professional | None | $0.89 | $1.29 | $1.82 |
Quartz Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Quartz Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.71 | Professional | None | $0.49 | $0.49 | $0.71 |
Security Health Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | None | $0.98 | $0.98 | $0.98 |
Security Health Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.26 | Professional | None | $0.98 | $0.98 | $1.26 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.48 Typical High $0.89 | Professional | None | $0.32 | $0.48 | $0.89 |
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 $0.06 Median $0.06 Typical High $0.07 | Professional | RR · Rental | $0.06 | $0.06 | $0.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.47 Median $0.51 Typical High $0.62 | Professional | UE · Used equipment | $0.47 | $0.51 | $0.62 |
Where Wisconsin sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 11th of 51
$0.89
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.