How much rates vary
Facilitymedian $6,026 · 10th to 90th $3,890 to $11,482Professionalmedian $5,012 · 10th to 90th $2,188 to $7,079
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 $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $6,606.93 Typical High $10,000.00 | Facility | None | $6,025.60 | $6,606.93 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $6,025.60 Typical High $7,413.10 | Professional | None | $3,467.37 | $6,025.60 | $7,413.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $346.74 Median $602.56 Typical High $741.31 | Professional | RR · Rental | $346.74 | $602.56 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $16,218.10 Typical High $25,118.86 | Facility | None | $4,265.80 | $16,218.10 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $6,760.83 Typical High $8,511.38 | Professional | None | $3,630.78 | $6,760.83 | $8,511.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $363.08 | $426.58 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $5,888.44 | Facility | None | $3,090.30 | $3,890.45 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $4,073.80 Typical High $6,309.57 | Facility | None | $446.68 | $4,073.80 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,495.41 | Professional | None | $1,862.09 | $2,951.21 | $5,495.41 |
Medica Setting Professional Modifier RR · Rental Typical Low $275.42 Median $436.52 Typical High $831.76 | Professional | RR · Rental | $275.42 | $436.52 | $831.76 |
Network Health Setting Professional Modifier RR · Rental Typical Low $457.09 Median $676.08 Typical High $933.25 | Professional | RR · Rental | $457.09 | $676.08 | $933.25 |
Prevea360 Setting Facility Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $5,888.44 | Facility | None | $3,090.30 | $3,890.45 | $5,888.44 |
Prevea360 Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,513.56 | Professional | None | $602.56 | $933.25 | $1,513.56 |
Quartz 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 |
Quartz Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,630.78 | $3,630.78 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $5,370.32 | Professional | None | $1,862.09 | $2,951.21 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $275.42 Median $436.52 Typical High $794.33 | Professional | RR · Rental | $275.42 | $436.52 | $794.33 |
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | UE · Used equipment | $3,715.35 | $3,715.35 | $3,715.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,630.27 Typical High $2,630.27 | Professional | UE · Used equipment | $2,089.30 | $2,630.27 | $2,630.27 |
Where Wisconsin sits
The same service costs 11.0 times more in Kansas than in Illinois. 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
$5,623
KS $8,128IL $741
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.