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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $2,344.23 | Professional | None | $630.96 | $630.96 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,445.44 | Facility | None | $870.96 | $1,000.00 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,096.48 | Professional | None | $501.19 | $870.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,778.28 Typical High $3,715.35 | Facility | None | $575.44 | $1,778.28 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $1,659.59 | Professional | None | $426.58 | $616.60 | $1,659.59 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $851.14 Typical High $977.24 | Facility | None | $263.03 | $851.14 | $977.24 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,047.13 | $2,511.89 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $851.14 Typical High $4,265.80 | Facility | None | $436.52 | $851.14 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $1,698.24 | Professional | None | $398.11 | $602.56 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Network Health Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,513.56 | Professional | None | $616.60 | $812.83 | $1,513.56 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $851.14 Typical High $977.24 | Facility | None | $263.03 | $851.14 | $977.24 |
Prevea360 Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $1,047.13 | Professional | None | $489.78 | $851.14 | $1,047.13 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,041.74 | Professional | None | $870.96 | $1,288.25 | $2,041.74 |
Quartz Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $831.76 | Professional | None | $316.23 | $478.63 | $831.76 |
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 $50.12 Median $50.12 Typical High $64.57 | Professional | RR · Rental | $50.12 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | UE · Used equipment | $371.54 | $371.54 | $398.11 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii 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
$813
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.