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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,659.59 | Professional | None | $436.52 | $436.52 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $1,023.29 | Facility | None | $616.60 | $707.95 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $794.33 | Professional | None | $323.59 | $616.60 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,258.93 Typical High $2,570.40 | Facility | None | $380.19 | $1,258.93 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $1,174.90 | Professional | None | $275.42 | $407.38 | $1,174.90 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $602.56 Typical High $691.83 | Facility | None | $173.78 | $602.56 | $691.83 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $724.44 | Professional | None | $346.74 | $602.56 | $724.44 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $602.56 Typical High $2,818.38 | Facility | None | $302.00 | $602.56 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $776.25 | Professional | None | $263.03 | $363.08 | $776.25 |
Network Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Network Health Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $1,047.13 | Professional | None | $436.52 | $562.34 | $1,047.13 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $602.56 Typical High $691.83 | Facility | None | $173.78 | $602.56 | $691.83 |
Prevea360 Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $616.60 | Professional | None | $346.74 | $602.56 | $616.60 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,348.96 | Professional | None | $588.84 | $851.14 | $1,348.96 |
Quartz Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $512.86 | Professional | None | $208.93 | $302.00 | $512.86 |
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 $32.36 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $32.36 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | UE · Used equipment | $245.47 | $245.47 | $263.03 |
Where Wisconsin sits
The same service costs 2.4 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
$575
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.