How much rates vary
Facilitymedian $12,303 · 10th to 90th $7,413 to $23,442Professionalmedian $10,233 · 10th to 90th $3,715 to $14,454
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 $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,302.69 Median $13,489.63 Typical High $20,417.38 | Facility | None | $12,302.69 | $13,489.63 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,912.51 Median $12,302.69 Typical High $15,135.61 | Professional | None | $8,912.51 | $12,302.69 | $15,135.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $891.25 Median $1,230.27 Typical High $1,513.56 | Professional | RR · Rental | $891.25 | $1,230.27 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $33,884.42 Typical High $52,480.75 | Facility | None | $7,413.10 | $33,884.42 | $52,480.75 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $12,589.25 Typical High $17,378.01 | Professional | None | $6,309.57 | $12,589.25 | $17,378.01 |
Cigna Setting Professional Modifier RR · Rental Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $630.96 | $741.31 | $741.31 |
DeanCare Setting Facility Modifier None Typical Low $4,570.88 Median $8,128.31 Typical High $9,772.37 | Facility | None | $4,570.88 | $8,128.31 | $9,772.37 |
DeanCare Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $8,128.31 Typical High $11,220.18 | Facility | None | $660.69 | $8,128.31 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $8,912.51 | Professional | None | $2,884.03 | $4,265.80 | $8,912.51 |
Medica Setting Professional Modifier RR · Rental Typical Low $436.52 Median $602.56 Typical High $1,288.25 | Professional | RR · Rental | $436.52 | $602.56 | $1,288.25 |
Network Health Setting Professional Modifier RR · Rental Typical Low $602.56 Median $1,122.02 Typical High $1,949.84 | Professional | RR · Rental | $602.56 | $1,122.02 | $1,949.84 |
Prevea360 Setting Facility Modifier None Typical Low $4,570.88 Median $8,128.31 Typical High $9,772.37 | Facility | None | $4,570.88 | $8,128.31 | $9,772.37 |
Prevea360 Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,659.59 | $2,630.27 |
Quartz Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Quartz Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $7,413.10 | Professional | None | $6,309.57 | $6,309.57 | $7,413.10 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $4,265.80 Typical High $8,511.38 | Professional | None | $2,884.03 | $4,265.80 | $8,511.38 |
United Setting Professional Modifier RR · Rental Typical Low $426.58 Median $602.56 Typical High $1,230.27 | Professional | RR · Rental | $426.58 | $602.56 | $1,230.27 |
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 $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | UE · Used equipment | $7,762.47 | $7,762.47 | $7,762.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,623.41 Median $6,760.83 Typical High $6,760.83 | Professional | UE · Used equipment | $5,623.41 | $6,760.83 | $6,760.83 |
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· 6th of 51
$10,233
ND $13,804MS $1,288
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.