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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $4,897.79 | Professional | None | $3,090.30 | $3,890.45 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,248.07 Typical High $7,762.47 | Facility | None | $4,677.35 | $5,248.07 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $5,754.40 | Professional | None | $2,951.21 | $4,677.35 | $5,754.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $467.74 Typical High $588.84 | Professional | RR · Rental | $295.12 | $467.74 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $13,803.84 Typical High $21,379.62 | Facility | None | $2,691.53 | $13,803.84 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $7,244.36 | Professional | None | $2,290.87 | $4,265.80 | $7,244.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $229.09 Median $269.15 Typical High $426.58 | Professional | RR · Rental | $229.09 | $269.15 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $5,248.07 | Facility | None | $363.08 | $549.54 | $5,248.07 |
DeanCare Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $3,630.78 Typical High $5,370.32 | Facility | None | $363.08 | $3,630.78 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,698.24 | $2,454.71 | $4,570.88 |
Medica Setting Professional Modifier RR · Rental Typical Low $251.19 Median $371.54 Typical High $676.08 | Professional | RR · Rental | $251.19 | $371.54 | $676.08 |
Network Health Setting Professional Modifier RR · Rental Typical Low $398.11 Median $549.54 Typical High $741.31 | Professional | RR · Rental | $398.11 | $549.54 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $5,248.07 | Facility | None | $363.08 | $549.54 | $5,248.07 |
Prevea360 Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,230.27 | Professional | None | $501.19 | $741.31 | $1,230.27 |
Quartz Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,584.89 | $2,454.71 | $4,570.88 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $371.54 Typical High $676.08 | Professional | RR · Rental | $234.42 | $371.54 | $676.08 |
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 $2,238.72 Median $2,951.21 Typical High $2,951.21 | Professional | UE · Used equipment | $2,238.72 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $1,905.46 | $2,238.72 | $2,238.72 |
Where Wisconsin sits
The same service costs 12.6 times more in Kansas than in Montana. 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
$4,365
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.