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 $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None | $9,120.11 | $9,120.11 | $9,120.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $12,022.64 Typical High $17,782.79 | Facility | None | $10,964.78 | $12,022.64 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,248.07 Median $10,964.78 Typical High $13,489.63 | Professional | None | $5,248.07 | $10,964.78 | $13,489.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $524.81 Median $1,096.48 Typical High $1,348.96 | Professional | RR · Rental | $524.81 | $1,096.48 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $29,512.09 Typical High $45,708.82 | Facility | None | $6,606.93 | $29,512.09 | $45,708.82 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $11,220.18 Typical High $15,488.17 | Professional | None | $5,495.41 | $11,220.18 | $15,488.17 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $549.54 | $660.69 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $3,981.07 Median $7,079.46 Typical High $8,511.38 | Facility | None | $3,981.07 | $7,079.46 | $8,511.38 |
DeanCare Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $7,079.46 Typical High $9,772.37 | Facility | None | $512.86 | $7,079.46 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $7,943.28 | Professional | None | $2,570.40 | $3,715.35 | $7,943.28 |
Medica Setting Professional Modifier RR · Rental Typical Low $380.19 Median $537.03 Typical High $1,122.02 | Professional | RR · Rental | $380.19 | $537.03 | $1,122.02 |
Network Health Setting Professional Modifier RR · Rental Typical Low $524.81 Median $977.24 Typical High $1,698.24 | Professional | RR · Rental | $524.81 | $977.24 | $1,698.24 |
Prevea360 Setting Facility Modifier None Typical Low $3,981.07 Median $7,079.46 Typical High $8,511.38 | Facility | None | $3,981.07 | $7,079.46 | $8,511.38 |
Prevea360 Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,445.44 | $2,290.87 |
Quartz Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Quartz Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,606.93 | Professional | None | $5,495.41 | $5,495.41 | $6,606.93 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $7,585.78 | Professional | None | $2,511.89 | $3,715.35 | $7,585.78 |
United Setting Professional Modifier RR · Rental Typical Low $354.81 Median $537.03 Typical High $1,096.48 | Professional | RR · Rental | $354.81 | $537.03 | $1,096.48 |
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 $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | UE · Used equipment | $6,760.83 | $6,760.83 | $6,760.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,801.89 Median $3,890.45 Typical High $3,890.45 | Professional | UE · Used equipment | $3,801.89 | $3,890.45 | $3,890.45 |
Where Wisconsin sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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
$9,120
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.