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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $2,344.23 | Professional | None | $575.44 | $575.44 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $1,348.96 | Facility | None | $812.83 | $912.01 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $812.83 Typical High $1,047.13 | Professional | None | $436.52 | $812.83 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $3,388.44 | Facility | None | $512.86 | $1,621.81 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $1,513.56 | Professional | None | $371.54 | $549.54 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $794.33 Typical High $912.01 | Facility | None | $229.09 | $794.33 | $912.01 |
DeanCare Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,174.90 | Professional | None | $870.96 | $1,122.02 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $3,801.89 | Facility | None | $398.11 | $794.33 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $1,023.29 | Professional | None | $354.81 | $489.78 | $1,023.29 |
Network Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Network Health Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,380.38 | Professional | None | $575.44 | $741.31 | $1,380.38 |
Prevea360 Setting Facility Modifier None Typical Low $229.09 Median $794.33 Typical High $912.01 | Facility | None | $229.09 | $794.33 | $912.01 |
Prevea360 Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $954.99 | Professional | None | $457.09 | $794.33 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,819.70 | Professional | None | $794.33 | $1,148.15 | $1,819.70 |
Quartz Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $676.08 | Professional | None | $281.84 | $398.11 | $676.08 |
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 $43.65 Median $43.65 Typical High $56.23 | Professional | RR · Rental | $43.65 | $43.65 | $56.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $331.13 | $331.13 | $354.81 |
Where Wisconsin sits
The same service costs 3.8 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· 6th of 51
$759
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.