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 $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | None | $14,125.38 | $14,125.38 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Professional | None | $14,125.38 | $14,125.38 | $14,125.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $16,595.87 Median $18,620.87 Typical High $27,542.29 | Facility | None | $16,595.87 | $18,620.87 | $27,542.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,128.31 Median $16,595.87 Typical High $20,417.38 | Professional | None | $8,128.31 | $16,595.87 | $20,417.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $812.83 Median $1,659.59 Typical High $2,041.74 | Professional | RR · Rental | $812.83 | $1,659.59 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $45,708.82 Typical High $70,794.58 | Facility | None | $10,000.00 | $45,708.82 | $70,794.58 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $16,982.44 Typical High $23,988.33 | Professional | None | $8,511.38 | $16,982.44 | $23,988.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | RR · Rental | $851.14 | $1,000.00 | $1,000.00 |
DeanCare Setting Facility Modifier None Typical Low $6,165.95 Median $10,964.78 Typical High $13,182.57 | Facility | None | $6,165.95 | $10,964.78 | $13,182.57 |
DeanCare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $10,964.78 Typical High $15,135.61 | Facility | None | $912.01 | $10,964.78 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $3,981.07 Median $5,754.40 Typical High $12,302.69 | Professional | None | $3,981.07 | $5,754.40 | $12,302.69 |
Medica Setting Professional Modifier RR · Rental Typical Low $588.84 Median $812.83 Typical High $1,737.80 | Professional | RR · Rental | $588.84 | $812.83 | $1,737.80 |
Network Health Setting Professional Modifier RR · Rental Typical Low $812.83 Median $1,513.56 Typical High $2,630.27 | Professional | RR · Rental | $812.83 | $1,513.56 | $2,630.27 |
Prevea360 Setting Facility Modifier None Typical Low $6,165.95 Median $10,964.78 Typical High $13,182.57 | Facility | None | $6,165.95 | $10,964.78 | $13,182.57 |
Prevea360 Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,238.72 | $3,548.13 |
Quartz Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Quartz Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $10,000.00 | Professional | None | $8,511.38 | $8,511.38 | $10,000.00 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $5,754.40 Typical High $11,748.98 | Professional | None | $3,890.45 | $5,754.40 | $11,748.98 |
United Setting Professional Modifier RR · Rental Typical Low $575.44 Median $812.83 Typical High $1,659.59 | Professional | RR · Rental | $575.44 | $812.83 | $1,659.59 |
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 $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | UE · Used equipment | $10,471.29 | $10,471.29 | $10,471.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,888.44 Median $6,025.60 Typical High $6,025.60 | Professional | UE · Used equipment | $5,888.44 | $6,025.60 | $6,025.60 |
Where Wisconsin sits
The same service costs 10.7 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
$14,125
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.