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 $15,488.17 Median $15,488.17 Typical High $15,488.17 | Facility | None | $15,488.17 | $15,488.17 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $11,481.54 Median $15,488.17 Typical High $15,488.17 | Professional | None | $11,481.54 | $15,488.17 | $15,488.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,620.87 Median $20,417.38 Typical High $30,902.95 | Facility | None | $18,620.87 | $20,417.38 | $30,902.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $13,489.63 Median $18,620.87 Typical High $22,908.68 | Professional | None | $13,489.63 | $18,620.87 | $22,908.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,348.96 Median $1,862.09 Typical High $2,290.87 | Professional | RR · Rental | $1,348.96 | $1,862.09 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $11,220.18 Median $50,118.72 Typical High $77,624.71 | Facility | None | $11,220.18 | $50,118.72 | $77,624.71 |
Cigna Setting Professional Modifier None Typical Low $9,549.93 Median $19,054.61 Typical High $26,302.68 | Professional | None | $9,549.93 | $19,054.61 | $26,302.68 |
Cigna Setting Professional Modifier RR · Rental Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $954.99 | $1,122.02 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $6,760.83 Median $12,022.64 Typical High $14,454.40 | Facility | None | $6,760.83 | $12,022.64 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $12,022.64 Typical High $16,595.87 | Facility | None | $1,000.00 | $12,022.64 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $4,365.16 Median $6,309.57 Typical High $13,489.63 | Professional | None | $4,365.16 | $6,309.57 | $13,489.63 |
Medica Setting Professional Modifier RR · Rental Typical Low $645.65 Median $912.01 Typical High $1,905.46 | Professional | RR · Rental | $645.65 | $912.01 | $1,905.46 |
Network Health Setting Professional Modifier RR · Rental Typical Low $891.25 Median $1,698.24 Typical High $2,884.03 | Professional | RR · Rental | $891.25 | $1,698.24 | $2,884.03 |
Prevea360 Setting Facility Modifier None Typical Low $6,760.83 Median $12,022.64 Typical High $14,454.40 | Facility | None | $6,760.83 | $12,022.64 | $14,454.40 |
Prevea360 Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,698.24 | $2,454.71 | $3,890.45 |
Quartz Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
Quartz Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $11,220.18 | Professional | None | $9,549.93 | $9,549.93 | $11,220.18 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $6,309.57 Typical High $12,882.50 | Professional | None | $4,265.80 | $6,309.57 | $12,882.50 |
United Setting Professional Modifier RR · Rental Typical Low $645.65 Median $912.01 Typical High $1,862.09 | Professional | RR · Rental | $645.65 | $912.01 | $1,862.09 |
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 $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | UE · Used equipment | $11,481.54 | $11,481.54 | $11,481.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | UE · Used equipment | $10,000.00 | $10,000.00 | $10,000.00 |
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· 6th of 51
$15,488
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.