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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $602.56 Typical High $602.56 | Professional | None | $21.88 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | RR · Rental | $114.82 | $114.82 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $5,888.44 Typical High $9,120.11 | Facility | None | $1,148.15 | $5,888.44 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $24,547.09 | Professional | None | $831.76 | $977.24 | $24,547.09 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,071.52 | Facility | None | $602.56 | $602.56 | $1,071.52 |
DeanCare Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $691.83 | Professional | None | $588.84 | $602.56 | $691.83 |
DeanCare Setting Professional Modifier RR · Rental Typical Low $588.84 Median $602.56 Typical High $691.83 | Professional | RR · Rental | $588.84 | $602.56 | $691.83 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $3,548.13 | Facility | None | $602.56 | $602.56 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $1,513.56 | Professional | None | $371.54 | $467.74 | $1,513.56 |
Medica Setting Professional Modifier RR · Rental Typical Low $39.81 Median $46.77 Typical High $151.36 | Professional | RR · Rental | $39.81 | $46.77 | $151.36 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,071.52 | Facility | None | $602.56 | $602.56 | $1,071.52 |
Quartz Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $16.22 | Professional | None | $9.12 | $12.02 | $16.22 |
Quartz Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Quartz Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $1,513.56 | Professional | None | $398.11 | $467.74 | $1,513.56 |
United Setting Professional Modifier RR · Rental Typical Low $39.81 Median $46.77 Typical High $151.36 | Professional | RR · Rental | $39.81 | $46.77 | $151.36 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
DeanCare Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $602.56 Typical High $691.83 | Professional | 52 · Reduced service | $588.84 | $602.56 | $691.83 |
DeanCare Setting Professional Modifier 59 · Distinct service Typical Low $588.84 Median $602.56 Typical High $691.83 | Professional | 59 · Distinct service | $588.84 | $602.56 | $691.83 |
DeanCare Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $602.56 Typical High $691.83 | Professional | UE · Used equipment | $588.84 | $602.56 | $691.83 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $346.74 Typical High $1,122.02 | Professional | UE · Used equipment | $295.12 | $346.74 | $1,122.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $346.74 Typical High $1,122.02 | Professional | UE · Used equipment | $295.12 | $346.74 | $1,122.02 |
Where Wisconsin sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 26th of 51
$832
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.