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 $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $5,495.41 Median $6,760.83 Typical High $6,760.83 | Professional | None | $5,495.41 | $6,760.83 | $6,760.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $9,120.11 Typical High $13,489.63 | Facility | None | $8,317.64 | $9,120.11 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,890.45 Median $8,317.64 Typical High $10,232.93 | Professional | None | $3,890.45 | $8,317.64 | $10,232.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $389.05 Median $831.76 Typical High $1,023.29 | Professional | RR · Rental | $389.05 | $831.76 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $22,908.68 Typical High $34,673.69 | Facility | None | $5,623.41 | $22,908.68 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $9,332.54 Typical High $11,748.98 | Professional | None | $4,786.30 | $9,332.54 | $11,748.98 |
Cigna Setting Professional Modifier RR · Rental Typical Low $478.63 Median $562.34 Typical High $660.69 | Professional | RR · Rental | $478.63 | $562.34 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $7,244.36 | Facility | None | $407.38 | $954.99 | $7,244.36 |
DeanCare Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $3,630.78 Typical High $7,762.47 | Facility | None | $363.08 | $3,630.78 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $6,606.93 | Professional | None | $2,290.87 | $3,311.31 | $6,606.93 |
Medica Setting Professional Modifier RR · Rental Typical Low $346.74 Median $501.19 Typical High $933.25 | Professional | RR · Rental | $346.74 | $501.19 | $933.25 |
Network Health Setting Professional Modifier RR · Rental Typical Low $478.63 Median $758.58 Typical High $1,288.25 | Professional | RR · Rental | $478.63 | $758.58 | $1,288.25 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $7,244.36 | Facility | None | $407.38 | $954.99 | $7,244.36 |
Prevea360 Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,778.28 | Professional | None | $776.25 | $1,122.02 | $1,778.28 |
Quartz Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Quartz Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,623.41 | Professional | None | $4,786.30 | $4,786.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $6,165.95 | Professional | None | $2,089.30 | $3,311.31 | $6,165.95 |
United Setting Professional Modifier RR · Rental Typical Low $309.03 Median $501.19 Typical High $912.01 | Professional | RR · Rental | $309.03 | $501.19 | $912.01 |
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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | UE · Used equipment | $5,128.61 | $5,128.61 | $5,128.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,951.21 Typical High $2,951.21 | Professional | UE · Used equipment | $2,754.23 | $2,951.21 | $2,951.21 |
Where Wisconsin sits
The same service costs 12.0 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· 7th 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.