How much rates vary
Facilitymedian $513 · 10th to 90th $275 to $1,175Professionalmedian $468 · 10th to 90th $204 to $759
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,230.27 | Professional | None | $363.08 | $363.08 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $575.44 Typical High $831.76 | Facility | None | $512.86 | $575.44 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $660.69 | Professional | None | $288.40 | $512.86 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $1,023.29 Typical High $2,137.96 | Facility | None | $275.42 | $1,023.29 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $954.99 | Professional | None | $204.17 | $309.03 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $501.19 Typical High $575.44 | Facility | None | $144.54 | $501.19 | $575.44 |
DeanCare Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $645.65 | Professional | None | $501.19 | $616.60 | $645.65 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $2,344.23 | Facility | None | $251.19 | $501.19 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $645.65 | Professional | None | $218.78 | $316.23 | $645.65 |
Network Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Network Health Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $870.96 | Professional | None | $363.08 | $467.74 | $870.96 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $501.19 Typical High $575.44 | Facility | None | $144.54 | $501.19 | $575.44 |
Prevea360 Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $501.19 | Professional | None | $288.40 | $489.78 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,122.02 | Professional | None | $489.78 | $707.95 | $1,122.02 |
Quartz Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None | $398.11 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $478.63 | Professional | None | $173.78 | $251.19 | $478.63 |
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 $28.84 Median $28.84 Typical High $35.48 | Professional | RR · Rental | $28.84 | $28.84 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | UE · Used equipment | $218.78 | $218.78 | $234.42 |
Where Wisconsin sits
The same service costs 2.5 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· 7th of 51
$468
MT $513DE $204
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.