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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $2,630.27 | Professional | None | $676.08 | $870.96 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,995.26 | Facility | None | $1,230.27 | $1,380.38 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,584.89 | Professional | None | $660.69 | $1,230.27 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,454.71 Typical High $3,019.95 | Facility | None | $741.31 | $2,454.71 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $2,290.87 | Professional | None | $537.03 | $954.99 | $2,290.87 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $1,202.26 Typical High $1,380.38 | Facility | None | $346.74 | $1,202.26 | $1,380.38 |
DeanCare Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,584.89 | Professional | None | $1,202.26 | $1,513.56 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,202.26 Typical High $5,623.41 | Facility | None | $602.56 | $1,202.26 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,548.82 | Professional | None | $524.81 | $758.58 | $1,548.82 |
Network Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Network Health Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $2,089.30 | Professional | None | $870.96 | $1,122.02 | $2,089.30 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $1,202.26 Typical High $1,380.38 | Facility | None | $346.74 | $1,202.26 | $1,380.38 |
Prevea360 Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,202.26 | Professional | None | $691.83 | $1,174.90 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,698.24 | $2,691.53 |
Quartz Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $954.99 | Facility | None | $741.31 | $741.31 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $954.99 | Professional | None | $537.03 | $537.03 | $954.99 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $1,023.29 | Professional | None | $416.87 | $602.56 | $1,023.29 |
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 $64.57 Median $64.57 Typical High $85.11 | Professional | RR · Rental | $64.57 | $64.57 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | UE · Used equipment | $478.63 | $478.63 | $524.81 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 7th of 51
$1,148
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.