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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $1,000.00 | Professional | None | $251.19 | $251.19 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $575.44 | Facility | None | $346.74 | $398.11 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $436.52 | Professional | None | $186.21 | $346.74 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $707.95 Typical High $1,445.44 | Facility | None | $229.09 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $660.69 | Professional | None | $165.96 | $245.47 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $389.05 | Facility | None | $97.72 | $338.84 | $389.05 |
DeanCare Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $416.87 | Professional | None | $194.98 | $331.13 | $416.87 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $338.84 Typical High $1,584.89 | Facility | None | $173.78 | $338.84 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $446.68 | Professional | None | $151.36 | $218.78 | $446.68 |
Network Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Network Health Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Professional | None | $245.47 | $323.59 | $602.56 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $389.05 | Facility | None | $97.72 | $338.84 | $389.05 |
Prevea360 Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $338.84 | Professional | None | $194.98 | $331.13 | $338.84 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $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 $23.99 | Professional | RR · Rental | $18.62 | $18.62 | $23.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | UE · Used equipment | $138.04 | $138.04 | $151.36 |
Where Wisconsin sits
The same service costs 4.8 times more in Kansas than in New Jersey. 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· 10th of 51
$324
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.