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 $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $9,332.54 | Professional | None | $6,025.60 | $6,025.60 | $9,332.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,570.88 Median $4,570.88 Typical High $6,918.31 | Professional | UE · Used equipment | $4,570.88 | $4,570.88 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $7,943.28 Typical High $12,022.64 | Facility | None | $7,244.36 | $7,943.28 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $7,244.36 Typical High $8,912.51 | Professional | None | $5,011.87 | $7,244.36 | $8,912.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $501.19 Median $724.44 Typical High $891.25 | Professional | RR · Rental | $501.19 | $724.44 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,715.35 Median $3,715.35 Typical High $3,801.89 | Professional | UE · Used equipment | $3,715.35 | $3,715.35 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $19,952.62 Typical High $30,902.95 | Facility | None | $5,128.61 | $19,952.62 | $30,902.95 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $8,317.64 Typical High $10,471.29 | Professional | None | $4,365.16 | $8,317.64 | $10,471.29 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $436.52 | $512.86 | $512.86 |
DeanCare Setting Facility Modifier None Typical Low $630.96 Median $4,786.30 Typical High $8,511.38 | Facility | None | $630.96 | $4,786.30 | $8,511.38 |
DeanCare Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $5,754.40 Typical High $33,113.11 | Facility | None | $660.69 | $5,754.40 | $33,113.11 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $5,754.40 | Professional | None | $2,089.30 | $2,884.03 | $5,754.40 |
Medica Setting Professional Modifier RR · Rental Typical Low $295.12 Median $389.05 Typical High $831.76 | Professional | RR · Rental | $295.12 | $389.05 | $831.76 |
Network Health Setting Professional Modifier RR · Rental Typical Low $354.81 Median $660.69 Typical High $1,148.15 | Professional | RR · Rental | $354.81 | $660.69 | $1,148.15 |
Prevea360 Setting Facility Modifier None Typical Low $630.96 Median $4,786.30 Typical High $8,511.38 | Facility | None | $630.96 | $4,786.30 | $8,511.38 |
Prevea360 Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,584.89 | Professional | None | $660.69 | $1,000.00 | $1,584.89 |
Quartz Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Quartz Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,128.61 | Professional | None | $4,365.16 | $4,365.16 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $5,623.41 | Professional | None | $1,949.84 | $2,951.21 | $5,623.41 |
United Setting Professional Modifier RR · Rental Typical Low $263.03 Median $389.05 Typical High $776.25 | Professional | RR · Rental | $263.03 | $389.05 | $776.25 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Where Wisconsin sits
The same service costs 12.6 times more in Kansas than in Mississippi. 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
$6,761
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.