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 $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | None | $14,791.08 | $14,791.08 | $14,791.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $17,782.79 Median $19,498.45 Typical High $29,512.09 | Facility | None | $17,782.79 | $19,498.45 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,511.38 Median $17,782.79 Typical High $21,877.62 | Professional | None | $8,511.38 | $17,782.79 | $21,877.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,778.28 Typical High $2,187.76 | Professional | RR · Rental | $851.14 | $1,778.28 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $48,977.88 Typical High $74,131.02 | Facility | None | $10,715.19 | $48,977.88 | $74,131.02 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $18,197.01 Typical High $25,118.86 | Professional | None | $9,120.11 | $18,197.01 | $25,118.86 |
Cigna Setting Professional Modifier RR · Rental Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | RR · Rental | $912.01 | $1,071.52 | $1,071.52 |
DeanCare Setting Facility Modifier None Typical Low $6,606.93 Median $11,481.54 Typical High $13,803.84 | Facility | None | $6,606.93 | $11,481.54 | $13,803.84 |
DeanCare Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $11,481.54 Typical High $16,218.10 | Facility | None | $954.99 | $11,481.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $12,882.50 | Professional | None | $4,168.69 | $6,025.60 | $12,882.50 |
Medica Setting Professional Modifier RR · Rental Typical Low $630.96 Median $870.96 Typical High $1,862.09 | Professional | RR · Rental | $630.96 | $870.96 | $1,862.09 |
Network Health Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,621.81 Typical High $2,754.23 | Professional | RR · Rental | $851.14 | $1,621.81 | $2,754.23 |
Prevea360 Setting Facility Modifier None Typical Low $6,606.93 Median $11,481.54 Typical High $13,803.84 | Facility | None | $6,606.93 | $11,481.54 | $13,803.84 |
Prevea360 Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Quartz Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,621.81 | $2,344.23 | $3,715.35 |
Quartz Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Quartz Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $10,715.19 | Professional | None | $9,120.11 | $9,120.11 | $10,715.19 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $6,025.60 Typical High $12,302.69 | Professional | None | $4,073.80 | $6,025.60 | $12,302.69 |
United Setting Professional Modifier RR · Rental Typical Low $575.44 Median $870.96 Typical High $1,778.28 | Professional | RR · Rental | $575.44 | $870.96 | $1,778.28 |
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 $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | UE · Used equipment | $11,220.18 | $11,220.18 | $11,220.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | UE · Used equipment | $6,456.54 | $6,456.54 | $6,456.54 |
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
$14,791
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.