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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $234.42 | Professional | None | $45.71 | $45.71 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $74.13 Typical High $107.15 | Facility | None | $64.57 | $74.13 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $81.28 | Professional | None | $60.26 | $64.57 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $213.80 Typical High $316.23 | Facility | None | $67.61 | $213.80 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $120.23 | Professional | None | $48.98 | $77.62 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $75.86 | Facility | None | $33.11 | $63.10 | $75.86 |
DeanCare Setting Professional Modifier None Typical Low $69.18 Median $131.83 Typical High $134.90 | Professional | None | $69.18 | $131.83 | $134.90 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $67.61 Typical High $323.59 | Facility | None | $37.15 | $67.61 | $323.59 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $128.82 | Professional | None | $47.86 | $67.61 | $128.82 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $138.04 | Professional | None | $60.26 | $75.86 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $75.86 | Facility | None | $33.11 | $63.10 | $75.86 |
Prevea360 Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $63.10 | Professional | None | $33.11 | $58.88 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $138.04 | Professional | None | $36.31 | $74.13 | $138.04 |
Quartz Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $77.62 | Professional | None | $48.98 | $48.98 | $77.62 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | None | $83.18 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $89.13 | Professional | None | $35.48 | $54.95 | $89.13 |
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 $6.31 Median $6.31 Typical High $6.92 | Professional | RR · Rental | $6.31 | $6.31 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $46.77 | $47.86 | $47.86 |
Where Wisconsin sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 18th of 51
$64.57
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.