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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,737.80 | Professional | None | $416.87 | $416.87 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $660.69 Typical High $954.99 | Facility | None | $588.84 | $660.69 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $724.44 | Professional | None | $302.00 | $588.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,174.90 Typical High $2,454.71 | Facility | None | $346.74 | $1,174.90 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $1,096.48 | Professional | None | $251.19 | $371.54 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $660.69 | Facility | None | $165.96 | $575.44 | $660.69 |
DeanCare Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $691.83 | Professional | None | $331.13 | $575.44 | $691.83 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $2,754.23 | Facility | None | $288.40 | $575.44 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $741.31 | Professional | None | $257.04 | $354.81 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Network Health Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $1,000.00 | Professional | None | $416.87 | $537.03 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $575.44 Typical High $660.69 | Facility | None | $165.96 | $575.44 | $660.69 |
Prevea360 Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $676.08 | Professional | None | $331.13 | $575.44 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,318.26 | Professional | None | $575.44 | $831.76 | $1,318.26 |
Quartz Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $489.78 | Professional | None | $199.53 | $288.40 | $489.78 |
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 $30.20 Median $41.69 Typical High $302.00 | Professional | RR · Rental | $30.20 | $41.69 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | UE · Used equipment | $229.09 | $229.09 | $302.00 |
Where Wisconsin sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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
$550
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.