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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $269.15 | Professional | None | $67.61 | $85.11 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $199.53 | Facility | None | $120.23 | $138.04 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $120.23 Typical High $154.88 | Professional | None | $66.07 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $245.47 Typical High $501.19 | Facility | None | $66.07 | $245.47 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $229.09 | Professional | None | $47.86 | $72.44 | $229.09 |
DeanCare Setting Facility Modifier None Typical Low $33.88 Median $117.49 Typical High $134.90 | Facility | None | $33.88 | $117.49 | $134.90 |
DeanCare Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $169.82 | Professional | None | $117.49 | $158.49 | $169.82 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $117.49 Typical High $549.54 | Facility | None | $58.88 | $117.49 | $549.54 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $154.88 | Professional | None | $52.48 | $74.13 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $204.17 | Professional | None | $85.11 | $109.65 | $204.17 |
Prevea360 Setting Facility Modifier None Typical Low $33.88 Median $117.49 Typical High $134.90 | Facility | None | $33.88 | $117.49 | $134.90 |
Prevea360 Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $117.49 | Professional | None | $67.61 | $114.82 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $269.15 | Professional | None | $117.49 | $169.82 | $269.15 |
Quartz Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $70.79 | Professional | None | $47.86 | $47.86 | $70.79 |
The Alliance Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $263.03 | Professional | None | $102.33 | $158.49 | $263.03 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $100.00 | Professional | None | $40.74 | $58.88 | $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 $6.46 Median $6.46 Typical High $8.32 | Professional | RR · Rental | $6.46 | $6.46 | $8.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | UE · Used equipment | $47.86 | $47.86 | $51.29 |
Where Wisconsin sits
The same service costs 2.5 times more in Kansas 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· 10th of 51
$112
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.