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 $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,943.28 | $7,943.28 | $7,943.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $10,471.29 Typical High $15,848.93 | Facility | None | $9,549.93 | $10,471.29 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,570.88 Median $9,549.93 Typical High $11,748.98 | Professional | None | $4,570.88 | $9,549.93 | $11,748.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $457.09 Median $954.99 Typical High $1,174.90 | Professional | RR · Rental | $457.09 | $954.99 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $25,703.96 Typical High $39,810.72 | Facility | None | $6,456.54 | $25,703.96 | $39,810.72 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $10,715.19 Typical High $13,489.63 | Professional | None | $5,495.41 | $10,715.19 | $13,489.63 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $645.65 Typical High $758.58 | Professional | RR · Rental | $549.54 | $645.65 | $758.58 |
DeanCare Setting Facility Modifier None Typical Low $537.03 Median $7,079.46 Typical High $9,549.93 | Facility | None | $537.03 | $7,079.46 | $9,549.93 |
DeanCare Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $8,511.38 Typical High $42,657.95 | Facility | None | $537.03 | $8,511.38 | $42,657.95 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $7,413.10 | Professional | None | $2,691.53 | $3,890.45 | $7,413.10 |
Medica Setting Professional Modifier RR · Rental Typical Low $407.38 Median $575.44 Typical High $1,071.52 | Professional | RR · Rental | $407.38 | $575.44 | $1,071.52 |
Network Health Setting Professional Modifier RR · Rental Typical Low $562.34 Median $891.25 Typical High $1,479.11 | Professional | RR · Rental | $562.34 | $891.25 | $1,479.11 |
Prevea360 Setting Facility Modifier None Typical Low $537.03 Median $7,079.46 Typical High $9,549.93 | Facility | None | $537.03 | $7,079.46 | $9,549.93 |
Prevea360 Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $891.25 | $1,288.25 | $2,041.74 |
Quartz Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Quartz Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,456.54 | Professional | None | $5,495.41 | $5,495.41 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,890.45 Typical High $7,079.46 | Professional | None | $2,344.23 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier RR · Rental Typical Low $354.81 Median $575.44 Typical High $1,071.52 | Professional | RR · Rental | $354.81 | $575.44 | $1,071.52 |
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 $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | UE · Used equipment | $5,888.44 | $5,888.44 | $5,888.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | UE · Used equipment | $3,467.37 | $3,467.37 | $3,467.37 |
Where Wisconsin sits
The same service costs 9.3 times more in North Dakota 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· 5th of 51
$8,913
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.