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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,128.61 Typical High $7,762.47 | Facility | None | $4,677.35 | $5,128.61 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $5,754.40 | Professional | None | $2,691.53 | $4,677.35 | $5,754.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $467.74 Typical High $575.44 | Professional | RR · Rental | $269.15 | $467.74 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $12,589.25 Typical High $19,498.45 | Facility | None | $3,388.44 | $12,589.25 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $5,248.07 Typical High $6,606.93 | Professional | None | $2,818.38 | $5,248.07 | $6,606.93 |
Cigna Setting Professional Modifier RR · Rental Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $281.84 | $338.84 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,398.83 | $3,019.95 | $4,677.35 |
DeanCare Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $3,162.28 Typical High $5,128.61 | Facility | None | $354.81 | $3,162.28 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,365.16 | Professional | None | $1,479.11 | $2,344.23 | $4,365.16 |
Medica Setting Professional Modifier RR · Rental Typical Low $223.87 Median $346.74 Typical High $645.65 | Professional | RR · Rental | $223.87 | $346.74 | $645.65 |
Network Health Setting Professional Modifier RR · Rental Typical Low $371.54 Median $549.54 Typical High $724.44 | Professional | RR · Rental | $371.54 | $549.54 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,398.83 | $3,019.95 | $4,677.35 |
Prevea360 Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,202.26 | Professional | None | $467.74 | $724.44 | $1,202.26 |
Quartz Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Quartz Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,818.38 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,445.44 | $2,344.23 | $4,168.69 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $346.74 Typical High $630.96 | Professional | RR · Rental | $218.78 | $346.74 | $630.96 |
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | UE · Used equipment | $2,884.03 | $2,884.03 | $2,884.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $1,737.80 | $2,041.74 | $2,041.74 |
Where Wisconsin sits
The same service costs 9.8 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· 5th 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.