How much rates vary
Facilitymedian $5,129 · 10th to 90th $3,311 to $9,772Professionalmedian $4,266 · 10th to 90th $1,862 to $6,026
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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $8,511.38 | Facility | None | $5,128.61 | $5,623.41 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $6,309.57 | Professional | None | $2,951.21 | $5,128.61 | $6,309.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $512.86 Typical High $630.96 | Professional | RR · Rental | $295.12 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $13,803.84 Typical High $21,379.62 | Facility | None | $3,630.78 | $13,803.84 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $7,244.36 | Professional | None | $3,090.30 | $5,754.40 | $7,244.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $309.03 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $309.03 | $363.08 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,630.27 | $3,311.31 | $4,897.79 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $3,467.37 Typical High $5,248.07 | Facility | None | $371.54 | $3,467.37 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,677.35 | Professional | None | $1,548.82 | $2,511.89 | $4,677.35 |
Medica Setting Professional Modifier RR · Rental Typical Low $234.42 Median $363.08 Typical High $707.95 | Professional | RR · Rental | $234.42 | $363.08 | $707.95 |
Network Health Setting Professional Modifier RR · Rental Typical Low $389.05 Median $562.34 Typical High $794.33 | Professional | RR · Rental | $389.05 | $562.34 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,630.27 | $3,311.31 | $4,897.79 |
Prevea360 Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $1,288.25 | Professional | None | $512.86 | $794.33 | $1,288.25 |
Quartz Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $4,466.84 | Professional | None | $1,548.82 | $2,511.89 | $4,466.84 |
United Setting Professional Modifier RR · Rental Typical Low $229.09 Median $363.08 Typical High $676.08 | Professional | RR · Rental | $229.09 | $363.08 | $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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | UE · Used equipment | $3,162.28 | $3,162.28 | $3,162.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $2,238.72 | $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· 5th of 51
$4,786
KS $8,128MT $646
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.