How much rates vary
Facilitymedian $324 · 10th to 90th $178 to $741Professionalmedian $302 · 10th to 90th $132 to $490
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 $229.09 Median $229.09 Typical High $263.03 | Facility | None | $229.09 | $229.09 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $691.83 | Professional | None | $181.97 | $229.09 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $537.03 | Facility | None | $323.59 | $371.54 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $416.87 | Professional | None | $177.83 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $660.69 Typical High $1,348.96 | Facility | None | $177.83 | $660.69 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $616.60 | Professional | None | $128.82 | $194.98 | $616.60 |
DeanCare Setting Facility Modifier None Typical Low $91.20 Median $316.23 Typical High $363.08 | Facility | None | $91.20 | $316.23 | $363.08 |
DeanCare Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $436.52 | Professional | None | $316.23 | $416.87 | $436.52 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $1,479.11 | Facility | None | $158.49 | $316.23 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $407.38 | Professional | None | $141.25 | $199.53 | $407.38 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Network Health Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $549.54 | Professional | None | $229.09 | $295.12 | $549.54 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $316.23 Typical High $363.08 | Facility | None | $91.20 | $316.23 | $363.08 |
Prevea360 Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $316.23 | Professional | None | $181.97 | $309.03 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $724.44 | Professional | None | $316.23 | $446.68 | $724.44 |
Quartz Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $181.97 | Facility | None | $177.83 | $177.83 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | None | $128.82 | $128.82 | $181.97 |
Security Health Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | None | $251.19 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $269.15 | Professional | None | $109.65 | $158.49 | $269.15 |
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 $16.98 Median $16.98 Typical High $22.39 | Professional | RR · Rental | $16.98 | $16.98 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | UE · Used equipment | $128.82 | $128.82 | $138.04 |
Where Wisconsin sits
The same service costs 2.3 times more in Montana 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
$302
MT $324DE $138
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.