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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $151.36 | Professional | None | $87.10 | $87.10 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $173.78 | Facility | None | $104.71 | $117.49 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $128.82 | Professional | None | $51.29 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $181.97 Typical High $478.63 | Facility | None | $158.49 | $181.97 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $87.10 Typical High $199.53 | Professional | None | $44.67 | $87.10 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $102.33 Typical High $123.03 | Facility | None | $31.62 | $102.33 | $123.03 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $123.03 | Professional | None | $93.33 | $112.20 | $123.03 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $478.63 | Facility | None | $67.61 | $102.33 | $478.63 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $512.86 | Professional | None | $46.77 | $67.61 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $177.83 | Professional | None | $74.13 | $95.50 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $102.33 Typical High $123.03 | Facility | None | $31.62 | $102.33 | $123.03 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $234.42 | Professional | None | $100.00 | $144.54 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | None | $44.67 | $44.67 | $83.18 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $91.20 | Professional | None | $35.48 | $51.29 | $91.20 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $7.24 | Professional | RR · Rental | $5.13 | $5.13 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | UE · Used equipment | $38.90 | $38.90 | $41.69 |
Where Wisconsin sits
The same service costs 2.3 times more in Montana than in New Mexico. 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· 11th of 51
$97.72
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.