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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $1,174.90 | Professional | None | $346.74 | $398.11 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $933.25 | Facility | None | $562.34 | $630.96 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $562.34 Typical High $691.83 | Professional | None | $302.00 | $562.34 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,513.56 Typical High $2,344.23 | Facility | None | $371.54 | $1,513.56 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $1,047.13 | Professional | None | $275.42 | $416.87 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $660.69 | Facility | None | $275.42 | $549.54 | $660.69 |
DeanCare Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $660.69 | Professional | None | $537.03 | $575.44 | $660.69 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $2,570.40 | Facility | None | $346.74 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $2,754.23 | Professional | None | $263.03 | $363.08 | $2,754.23 |
Network Health Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,445.44 | Professional | None | $478.63 | $741.31 | $1,445.44 |
Prevea360 Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $660.69 | Facility | None | $275.42 | $549.54 | $660.69 |
Prevea360 Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | None | $537.03 | $537.03 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,230.27 | Professional | None | $537.03 | $776.25 | $1,230.27 |
Quartz Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Facility | None | $371.54 | $371.54 | $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 |
The Alliance Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,230.27 | Professional | None | $630.96 | $933.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $489.78 | Professional | None | $190.55 | $275.42 | $489.78 |
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 $30.20 Median $30.20 Typical High $302.00 | Professional | RR · Rental | $30.20 | $30.20 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | UE · Used equipment | $223.87 | $223.87 | $288.40 |
Where Wisconsin sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 5th of 51
$525
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.