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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $3,548.13 Typical High $3,548.13 | Professional | None | $724.44 | $3,548.13 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $4,677.35 Typical High $7,079.46 | Facility | None | $4,265.80 | $4,677.35 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $4,265.80 Typical High $5,248.07 | Professional | None | $2,754.23 | $4,265.80 | $5,248.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $426.58 Typical High $524.81 | Professional | RR · Rental | $275.42 | $426.58 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $11,748.98 Typical High $17,782.79 | Facility | None | $2,570.40 | $11,748.98 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $6,025.60 | Professional | None | $2,187.76 | $4,365.16 | $6,025.60 |
Cigna Setting Professional Modifier RR · Rental Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $218.78 | $257.04 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $3,890.45 | Facility | None | $263.03 | $416.87 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $3,890.45 | Facility | None | $263.03 | $416.87 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $1,949.84 | Professional | None | $151.36 | $275.42 | $1,949.84 |
Medica Setting Professional Modifier RR · Rental Typical Low $151.36 Median $218.78 Typical High $501.19 | Professional | RR · Rental | $151.36 | $218.78 | $501.19 |
Network Health Setting Professional Modifier RR · Rental Typical Low $204.17 Median $389.05 Typical High $676.08 | Professional | RR · Rental | $204.17 | $389.05 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $3,890.45 | Facility | None | $263.03 | $416.87 | $3,890.45 |
Quartz Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $891.25 | Professional | None | $389.05 | $562.34 | $891.25 |
Quartz Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Quartz Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,187.76 | $2,570.40 |
United Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $1,949.84 | Professional | None | $138.04 | $275.42 | $1,949.84 |
United Setting Professional Modifier RR · Rental Typical Low $151.36 Median $208.93 Typical High $549.54 | Professional | RR · Rental | $151.36 | $208.93 | $549.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | UE · Used equipment | $2,691.53 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,187.76 |
Where Wisconsin sits
The same service costs 26.3 times more in Kansas than in Hawaii. 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· 5th of 51
$3,981
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.