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 $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $32,359.37 | Professional | None | $13,182.57 | $13,182.57 | $32,359.37 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2,511.89 Median $2,818.38 Typical High $3,019.95 | Professional | RR · Rental | $2,511.89 | $2,818.38 | $3,019.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9,772.37 Median $9,772.37 Typical High $23,988.33 | Professional | UE · Used equipment | $9,772.37 | $9,772.37 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $17,782.79 | Professional | None | $6,606.93 | $6,606.93 | $17,782.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $2,238.72 | Professional | RR · Rental | $660.69 | $660.69 | $2,238.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,011.87 Median $5,011.87 Typical High $5,888.44 | Professional | UE · Used equipment | $5,011.87 | $5,011.87 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $42,657.95 Median $48,977.88 Typical High $72,443.60 | Facility | None | $42,657.95 | $48,977.88 | $72,443.60 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $15,848.93 Typical High $22,387.21 | Professional | None | $11,220.18 | $15,848.93 | $22,387.21 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $1,258.93 | Professional | RR · Rental | $645.65 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $16,218.10 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $16,218.10 |
DeanCare Setting Facility Modifier None Typical Low $1,548.82 Median $12,022.64 Typical High $18,620.87 | Facility | None | $1,548.82 | $12,022.64 | $18,620.87 |
DeanCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $8,912.51 | Professional | None | $1,412.54 | $1,548.82 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $12,022.64 Typical High $69,183.10 | Facility | None | $1,548.82 | $12,022.64 | $69,183.10 |
Medica Setting Professional Modifier None Typical Low $5,888.44 Median $8,317.64 Typical High $67,608.30 | Professional | None | $5,888.44 | $8,317.64 | $67,608.30 |
Medica Setting Professional Modifier RR · Rental Typical Low $707.95 Median $977.24 Typical High $7,244.36 | Professional | RR · Rental | $707.95 | $977.24 | $7,244.36 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $4,466.84 Median $5,623.41 Typical High $8,709.64 | Professional | UE · Used equipment | $4,466.84 | $5,623.41 | $8,709.64 |
Network Health Setting Professional Modifier None Typical Low $7,585.78 Median $11,220.18 Typical High $23,988.33 | Professional | None | $7,585.78 | $11,220.18 | $23,988.33 |
Prevea360 Setting Facility Modifier None Typical Low $1,548.82 Median $12,022.64 Typical High $18,620.87 | Facility | None | $1,548.82 | $12,022.64 | $18,620.87 |
Prevea360 Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $8,912.51 | Professional | None | $1,548.82 | $1,548.82 | $8,912.51 |
Quartz Setting Professional Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,445.44 | $2,137.96 | $3,715.35 |
Quartz Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Quartz Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Quartz Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $11,748.98 | Professional | None | $5,248.07 | $7,244.36 | $11,748.98 |
United Setting Professional Modifier RR · Rental Typical Low $512.86 Median $776.25 Typical High $1,445.44 | Professional | RR · Rental | $512.86 | $776.25 | $1,445.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $5,495.41 Typical High $8,709.64 | Professional | UE · Used equipment | $3,890.45 | $5,495.41 | $8,709.64 |
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 |
|---|---|---|---|---|---|
Network Health Setting Professional Modifier KF · Class III device Typical Low $1,148.15 Median $1,621.81 Typical High $9,549.93 | Professional | KF · Class III device | $1,148.15 | $1,621.81 | $9,549.93 |
Where Wisconsin sits
The same service costs 8.3 times more in North Dakota than in Washington. 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· 21st of 51
$10,233
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.