How much rates vary
Facilitymedian $5,888 · 10th to 90th $3,020 to $10,233Professionalmedian $3,715 · 10th to 90th $1,288 to $6,026
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,888.44 | Professional | None | $2,511.89 | $3,388.44 | $5,888.44 |
Aetna Setting Professional Modifier RR · Rental Typical Low $537.03 Median $537.03 Typical High $954.99 | Professional | RR · Rental | $537.03 | $537.03 | $954.99 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $2,511.89 Typical High $4,570.88 | Professional | UE · Used equipment | $2,511.89 | $2,511.89 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $6,456.54 Typical High $9,772.37 | Facility | None | $5,888.44 | $6,456.54 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $5,888.44 | Professional | None | $3,467.37 | $5,370.32 | $5,888.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | RR · Rental | $549.54 | $549.54 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,630.27 Median $2,630.27 Typical High $3,467.37 | Professional | UE · Used equipment | $2,630.27 | $2,630.27 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $11,481.54 Typical High $17,378.01 | Facility | None | $10,232.93 | $11,481.54 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $4,365.16 Typical High $5,248.07 | Professional | None | $1,288.25 | $4,365.16 | $5,248.07 |
DeanCare Setting Facility Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,801.89 | Facility | None | $2,691.53 | $3,019.95 | $3,801.89 |
DeanCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $16,982.44 | Facility | None | $2,691.53 | $3,630.78 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $4,570.88 Typical High $13,489.63 | Professional | None | $1,819.70 | $4,570.88 | $13,489.63 |
Medica Setting Professional Modifier RR · Rental Typical Low $288.40 Median $707.95 Typical High $2,137.96 | Professional | RR · Rental | $288.40 | $707.95 | $2,137.96 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $3,388.44 Typical High $10,000.00 | Professional | UE · Used equipment | $1,380.38 | $3,388.44 | $10,000.00 |
Network Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Prevea360 Setting Facility Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,801.89 | Facility | None | $2,691.53 | $3,019.95 | $3,801.89 |
Prevea360 Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,513.56 | Professional | None | $645.65 | $933.25 | $1,513.56 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Security Health Setting Facility Modifier RR · Rental Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | RR · Rental | $467.74 | $467.74 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,897.79 | Professional | None | $3,715.35 | $3,715.35 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $13,489.63 | Professional | None | $1,445.44 | $3,715.35 | $13,489.63 |
United Setting Professional Modifier RR · Rental Typical Low $223.87 Median $588.84 Typical High $2,137.96 | Professional | RR · Rental | $223.87 | $588.84 | $2,137.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $2,818.38 Typical High $10,000.00 | Professional | UE · Used equipment | $1,071.52 | $2,818.38 | $10,000.00 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | MS · Maintenance fee | $269.15 | $269.15 | $269.15 |
Where Wisconsin sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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· 1st of 51
$4,266
WI $4,266IL $1,175
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.