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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $1,513.56 Typical High $1,513.56 | Professional | None | $398.11 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $616.60 Median $870.96 Typical High $1,584.89 | Professional | RR · Rental | $616.60 | $870.96 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,951.21 | Facility | None | $1,819.70 | $1,995.26 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,819.70 | $2,238.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $181.97 Typical High $223.87 | Professional | RR · Rental | $125.89 | $181.97 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $4,897.79 Typical High $7,585.78 | Facility | None | $100.00 | $4,897.79 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $2,570.40 | Professional | None | $85.11 | $100.00 | $2,570.40 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $144.54 | Professional | RR · Rental | $74.13 | $74.13 | $144.54 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $1,621.81 | Facility | None | $114.82 | $204.17 | $1,621.81 |
DeanCare Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $177.83 | Professional | None | $100.00 | $162.18 | $177.83 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $2,089.30 | Facility | None | $107.15 | $204.17 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $831.76 | Professional | None | $81.28 | $125.89 | $831.76 |
Medica Setting Professional Modifier RR · Rental Typical Low $81.28 Median $112.20 Typical High $954.99 | Professional | RR · Rental | $81.28 | $112.20 | $954.99 |
Network Health Setting Professional Modifier RR · Rental Typical Low $128.82 Median $165.96 Typical High $309.03 | Professional | RR · Rental | $128.82 | $165.96 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $1,621.81 | Facility | None | $114.82 | $204.17 | $1,621.81 |
Prevea360 Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $177.83 | Professional | None | $100.00 | $100.00 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $446.68 | Professional | None | $165.96 | $288.40 | $446.68 |
Quartz Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Quartz Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | RR · Rental | $74.13 | $74.13 | $100.00 |
United Setting Professional Modifier None Typical Low $58.88 Median $141.25 Typical High $870.96 | Professional | None | $58.88 | $141.25 | $870.96 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $87.10 Typical High $147.91 | Professional | RR · Rental | $63.10 | $87.10 | $147.91 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $933.25 Typical High $954.99 | Professional | UE · Used equipment | $891.25 | $933.25 | $954.99 |
Where Wisconsin sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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
$1,514
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.