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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,659.59 Typical High $1,659.59 | Professional | None | $489.78 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier RR · Rental Typical Low $812.83 Median $1,122.02 Typical High $2,089.30 | Professional | RR · Rental | $812.83 | $1,122.02 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $3,235.94 | Facility | None | $1,995.26 | $2,187.76 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,995.26 Typical High $2,454.71 | Professional | None | $954.99 | $1,995.26 | $2,454.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $199.53 Typical High $251.19 | Professional | RR · Rental | $95.50 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $5,370.32 Typical High $8,317.64 | Facility | None | $109.65 | $5,370.32 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $2,818.38 | Professional | None | $93.33 | $109.65 | $2,818.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $158.49 | Professional | RR · Rental | $81.28 | $81.28 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $223.87 Typical High $1,778.28 | Facility | None | $125.89 | $223.87 | $1,778.28 |
DeanCare Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $194.98 | Professional | None | $112.20 | $177.83 | $194.98 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $1,778.28 | Facility | None | $117.49 | $213.80 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $912.01 | Professional | None | $91.20 | $138.04 | $912.01 |
Medica Setting Professional Modifier RR · Rental Typical Low $89.13 Median $123.03 Typical High $977.24 | Professional | RR · Rental | $89.13 | $123.03 | $977.24 |
Network Health Setting Professional Modifier RR · Rental Typical Low $141.25 Median $181.97 Typical High $338.84 | Professional | RR · Rental | $141.25 | $181.97 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $125.89 Median $223.87 Typical High $1,778.28 | Facility | None | $125.89 | $223.87 | $1,778.28 |
Prevea360 Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $194.98 | Professional | None | $112.20 | $186.21 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $489.78 | Professional | None | $181.97 | $316.23 | $489.78 |
Quartz Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Quartz Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | RR · Rental | $81.28 | $81.28 | $109.65 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $912.01 | Professional | None | $91.20 | $138.04 | $912.01 |
United Setting Professional Modifier RR · Rental Typical Low $64.57 Median $97.72 Typical High $186.21 | Professional | RR · Rental | $64.57 | $97.72 | $186.21 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | UE · Used equipment | $1,230.27 | $1,230.27 | $1,230.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | UE · Used equipment | $724.44 | $724.44 | $776.25 |
Where Wisconsin sits
The same service costs 21.4 times more in North Dakota than in Florida. 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· 6th of 51
$1,660
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.