How much rates vary
Facilitymedian $339 · 10th to 90th $219 to $741Professionalmedian $316 · 10th to 90th $158 to $513
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $851.14 | Professional | None | $245.47 | $245.47 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $562.34 | Facility | None | $338.84 | $389.05 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $338.84 Typical High $426.58 | Professional | None | $190.55 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $831.76 | Facility | None | $218.78 | $691.83 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $645.65 | Professional | None | $158.49 | $245.47 | $645.65 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $338.84 Typical High $389.05 | Facility | None | $100.00 | $338.84 | $389.05 |
DeanCare Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $549.54 | Professional | None | $363.08 | $512.86 | $549.54 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $1,621.81 | Facility | None | $169.82 | $338.84 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $436.52 | Professional | None | $151.36 | $208.93 | $436.52 |
Network Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Network Health Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $588.84 | Professional | None | $239.88 | $316.23 | $588.84 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $338.84 Typical High $389.05 | Facility | None | $100.00 | $338.84 | $389.05 |
Prevea360 Setting Professional Modifier None Typical Low $190.55 Median $338.84 Typical High $416.87 | Professional | None | $190.55 | $338.84 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $776.25 | Professional | None | $338.84 | $489.78 | $776.25 |
Quartz Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
The Alliance Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $2,137.96 | Professional | None | $407.38 | $707.95 | $2,137.96 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $501.19 | Facility | None | $204.17 | $204.17 | $501.19 |
United Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $295.12 | Professional | None | $120.23 | $169.82 | $295.12 |
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 $18.62 Median $18.62 Typical High $24.55 | Professional | RR · Rental | $18.62 | $18.62 | $24.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | UE · Used equipment | $141.25 | $141.25 | $141.25 |
Where Wisconsin sits
The same service costs 3.4 times more in Hawaii than in Alabama. 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· 9th of 51
$316
HI $537AL $158
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.