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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $3,388.44 | Professional | None | $1,023.29 | $1,023.29 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,344.23 | Facility | None | $1,445.44 | $1,621.81 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,445.44 Typical High $1,862.09 | Professional | None | $758.58 | $1,445.44 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,884.03 Typical High $6,025.60 | Facility | None | $912.01 | $2,884.03 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $2,691.53 | Professional | None | $660.69 | $1,000.00 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $1,621.81 | Facility | None | $407.38 | $1,412.54 | $1,621.81 |
DeanCare Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,778.28 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $6,606.93 | Facility | None | $707.95 | $1,412.54 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,819.70 | Professional | None | $616.60 | $891.25 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Network Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,318.26 | $2,454.71 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $1,621.81 | Facility | None | $407.38 | $1,412.54 | $1,621.81 |
Prevea360 Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,412.54 | Professional | None | $812.83 | $1,380.38 | $1,412.54 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,380.38 | $1,995.26 | $3,162.28 |
Quartz Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,202.26 | Professional | None | $489.78 | $707.95 | $1,202.26 |
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 $74.13 Median $74.13 Typical High $741.31 | Professional | RR · Rental | $74.13 | $74.13 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | UE · Used equipment | $549.54 | $549.54 | $741.31 |
Where Wisconsin sits
The same service costs 2.2 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· 5th of 51
$1,349
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.