How much rates vary
Facilitymedian $10,471 · 10th to 90th $4,365 to $19,953Professionalmedian $8,710 · 10th to 90th $3,090 to $12,303
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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $5,888.44 Median $8,709.64 Typical High $8,709.64 | Professional | None | $5,888.44 | $8,709.64 | $8,709.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,471.29 Median $11,481.54 Typical High $17,378.01 | Facility | None | $10,471.29 | $11,481.54 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $10,471.29 Typical High $12,882.50 | Professional | None | $5,011.87 | $10,471.29 | $12,882.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $501.19 Median $1,047.13 Typical High $1,288.25 | Professional | RR · Rental | $501.19 | $1,047.13 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $28,840.32 Typical High $43,651.58 | Facility | None | $4,365.16 | $28,840.32 | $43,651.58 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $14,791.08 | Professional | None | $3,715.35 | $4,677.35 | $14,791.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $371.54 Median $436.52 Typical High $575.44 | Professional | RR · Rental | $371.54 | $436.52 | $575.44 |
DeanCare Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $8,128.31 | Facility | None | $3,890.45 | $6,760.83 | $8,128.31 |
DeanCare Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $8,128.31 | Facility | None | $3,890.45 | $6,760.83 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $7,585.78 | Professional | None | $2,454.71 | $3,548.13 | $7,585.78 |
Medica Setting Professional Modifier RR · Rental Typical Low $371.54 Median $512.86 Typical High $1,096.48 | Professional | RR · Rental | $371.54 | $512.86 | $1,096.48 |
Network Health Setting Professional Modifier RR · Rental Typical Low $501.19 Median $954.99 Typical High $1,621.81 | Professional | RR · Rental | $501.19 | $954.99 | $1,621.81 |
Prevea360 Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $8,128.31 | Facility | None | $3,890.45 | $6,760.83 | $8,128.31 |
Prevea360 Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $2,187.76 | Professional | None | $954.99 | $1,380.38 | $2,187.76 |
Quartz Setting Facility Modifier None Typical Low $776.25 Median $4,365.16 Typical High $4,365.16 | Facility | None | $776.25 | $4,365.16 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $3,715.35 Typical High $4,365.16 | Professional | None | $776.25 | $3,715.35 | $4,365.16 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $7,244.36 | Professional | None | $2,398.83 | $3,548.13 | $7,244.36 |
United Setting Professional Modifier RR · Rental Typical Low $338.84 Median $512.86 Typical High $1,047.13 | Professional | RR · Rental | $338.84 | $512.86 | $1,047.13 |
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 $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | UE · Used equipment | $6,606.93 | $6,606.93 | $6,606.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,630.78 Median $3,801.89 Typical High $3,801.89 | Professional | UE · Used equipment | $3,630.78 | $3,801.89 | $3,801.89 |
Where Wisconsin sits
The same service costs 11.2 times more in North Dakota 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
$8,710
ND $11,749MT $1,047
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.