How much rates vary
Facilitymedian $115 · 10th to 90th $71 to $269Professionalmedian $107 · 10th to 90th $51 to $178
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $257.04 | Professional | None | $53.70 | $83.18 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $190.55 | Facility | None | $114.82 | $131.83 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $147.91 | Professional | None | $72.44 | $114.82 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $234.42 Typical High $489.78 | Facility | None | $70.79 | $234.42 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $218.78 | Professional | None | $51.29 | $74.13 | $218.78 |
DeanCare Setting Facility Modifier None Typical Low $36.31 Median $112.20 Typical High $128.82 | Facility | None | $36.31 | $112.20 | $128.82 |
DeanCare Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $181.97 | Professional | None | $123.03 | $173.78 | $181.97 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $112.20 Typical High $588.84 | Facility | None | $57.54 | $112.20 | $588.84 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $154.88 | Professional | None | $52.48 | $75.86 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Network Health Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $199.53 | Professional | None | $81.28 | $107.15 | $199.53 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $112.20 Typical High $128.82 | Facility | None | $36.31 | $112.20 | $128.82 |
Prevea360 Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $134.90 | Professional | None | $64.57 | $112.20 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $288.40 | Professional | None | $114.82 | $173.78 | $288.40 |
Quartz Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | None | $70.79 | $70.79 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | None | $51.29 | $51.29 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
The Alliance Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $281.84 | Professional | None | $109.65 | $169.82 | $281.84 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $186.21 | Facility | None | $52.48 | $67.61 | $186.21 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $100.00 | Professional | None | $44.67 | $63.10 | $100.00 |
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 $7.24 Median $7.24 Typical High $8.91 | Professional | RR · Rental | $7.24 | $7.24 | $8.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | UE · Used equipment | $53.70 | $53.70 | $54.95 |
Where Wisconsin sits
The same service costs 2.8 times more in Wyoming 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· 9th of 51
$107
WY $145DE $51.29
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.