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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $5,011.87 | Professional | None | $707.95 | $912.01 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,089.30 | Facility | None | $1,258.93 | $1,445.44 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,584.89 | Professional | None | $676.08 | $1,258.93 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,570.40 Typical High $5,248.07 | Facility | None | $758.58 | $2,570.40 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $2,398.83 | Professional | None | $549.54 | $831.76 | $2,398.83 |
DeanCare Setting Facility Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,412.54 | Facility | None | $354.81 | $1,230.27 | $1,412.54 |
DeanCare Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,584.89 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $5,754.40 | Facility | None | $630.96 | $1,230.27 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,621.81 | Professional | None | $549.54 | $794.33 | $1,621.81 |
Network Health Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Network Health Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $2,187.76 | Professional | None | $891.25 | $1,174.90 | $2,187.76 |
Prevea360 Setting Facility Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,412.54 | Facility | None | $354.81 | $1,230.27 | $1,412.54 |
Prevea360 Setting Professional Modifier None Typical Low $707.95 Median $1,202.26 Typical High $1,230.27 | Professional | None | $707.95 | $1,202.26 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,905.46 | $2,818.38 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,174.90 | Professional | None | $977.24 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,071.52 | Professional | None | $436.52 | $616.60 | $1,071.52 |
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 $66.07 Median $66.07 Typical High $87.10 | Professional | RR · Rental | $66.07 | $66.07 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Where Wisconsin sits
The same service costs 2.2 times more in Iowa 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· 8th of 51
$1,175
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.