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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $436.52 | Professional | None | $91.20 | $125.89 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $199.53 Typical High $288.40 | Facility | None | $173.78 | $199.53 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $229.09 | Professional | None | $89.13 | $173.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $354.81 Typical High $426.58 | Facility | None | $114.82 | $354.81 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $331.13 | Professional | None | $85.11 | $141.25 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $194.98 | Facility | None | $45.71 | $169.82 | $194.98 |
DeanCare Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $239.88 | Professional | None | $177.83 | $229.09 | $239.88 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $758.58 | Facility | None | $45.71 | $169.82 | $758.58 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $223.87 | Professional | None | $66.07 | $102.33 | $223.87 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Network Health Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $302.00 | Professional | None | $123.03 | $162.18 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $194.98 | Facility | None | $45.71 | $169.82 | $194.98 |
Prevea360 Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $177.83 | Professional | None | $97.72 | $169.82 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $363.08 | Professional | None | $158.49 | $229.09 | $363.08 |
Quartz Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
The Alliance Setting Professional Modifier None Typical Low $138.04 Median $323.59 Typical High $1,000.00 | Professional | None | $138.04 | $323.59 | $1,000.00 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $234.42 | Facility | None | $72.44 | $89.13 | $234.42 |
United Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $147.91 | Professional | None | $56.23 | $85.11 | $147.91 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $11.48 | Professional | RR · Rental | $8.51 | $8.51 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | UE · Used equipment | $64.57 | $64.57 | $69.18 |
Where Wisconsin sits
The same service costs 2.4 times more in Hawaii than in Maryland. 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· 3rd of 51
$162
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.