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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $3,467.37 | Professional | None | $891.25 | $891.25 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,230.27 | $1,412.54 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,548.82 | Professional | None | $676.08 | $1,230.27 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,511.89 Typical High $5,128.61 | Facility | None | $954.99 | $2,511.89 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $2,344.23 | Professional | None | $691.83 | $1,047.13 | $2,344.23 |
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 $1,548.82 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,548.82 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,202.26 Typical High $5,623.41 | Facility | None | $616.60 | $1,202.26 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,584.89 | Professional | None | $537.03 | $776.25 | $1,584.89 |
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 $1,148.15 Typical High $2,137.96 | Professional | None | $870.96 | $1,148.15 | $2,137.96 |
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 $1,202.26 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,737.80 | $2,754.23 |
Quartz Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,047.13 | Professional | None | $426.58 | $602.56 | $1,047.13 |
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 $66.07 Median $66.07 Typical High $398.11 | Professional | RR · Rental | $66.07 | $66.07 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Where Wisconsin sits
The same service costs 2.0 times more in Hawaii than in Washington, DC. 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
$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.