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 $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $6,309.57 Typical High $6,309.57 | Professional | None | $4,365.16 | $6,309.57 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $8,511.38 Typical High $12,589.25 | Facility | None | $7,585.78 | $8,511.38 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,365.16 Median $7,585.78 Typical High $9,332.54 | Professional | None | $4,365.16 | $7,585.78 | $9,332.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $436.52 Median $758.58 Typical High $933.25 | Professional | RR · Rental | $436.52 | $758.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $20,892.96 Typical High $31,622.78 | Facility | None | $5,495.41 | $20,892.96 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $8,709.64 Typical High $10,715.19 | Professional | None | $4,677.35 | $8,709.64 | $10,715.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $467.74 | $549.54 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $7,079.46 | Facility | None | $3,981.07 | $5,011.87 | $7,079.46 |
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 $5,248.07 Typical High $7,762.47 | Facility | None | $537.03 | $5,248.07 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $6,918.31 | Professional | None | $2,290.87 | $3,715.35 | $6,918.31 |
Medica Setting Professional Modifier RR · Rental Typical Low $346.74 Median $524.81 Typical High $1,023.29 | Professional | RR · Rental | $346.74 | $524.81 | $1,023.29 |
Network Health Setting Professional Modifier RR · Rental Typical Low $562.34 Median $812.83 Typical High $1,202.26 | Professional | RR · Rental | $562.34 | $812.83 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $7,079.46 | Facility | None | $3,981.07 | $5,011.87 | $7,079.46 |
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 $758.58 Median $1,174.90 Typical High $1,905.46 | Professional | None | $758.58 | $1,174.90 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Quartz Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,495.41 | Professional | None | $4,677.35 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $6,606.93 | Professional | None | $2,238.72 | $3,715.35 | $6,606.93 |
United Setting Professional Modifier RR · Rental Typical Low $331.13 Median $524.81 Typical High $1,000.00 | Professional | RR · Rental | $331.13 | $524.81 | $1,000.00 |
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 $3,311.31 Median $4,786.30 Typical High $4,786.30 | Professional | UE · Used equipment | $3,311.31 | $4,786.30 | $4,786.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $3,311.31 Typical High $3,548.13 | Professional | UE · Used equipment | $2,818.38 | $3,311.31 | $3,548.13 |
Where Wisconsin sits
The same service costs 11.5 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
$7,079
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.