How much rates vary
Facilitymedian $302 · 10th to 90th $174 to $692Professionalmedian $282 · 10th to 90th $129 to $457
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 $218.78 Median $218.78 Typical High $275.42 | Facility | None | $218.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $436.52 | Professional | None | $169.82 | $218.78 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $501.19 | Facility | None | $302.00 | $346.74 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $380.19 | Professional | None | $165.96 | $302.00 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $616.60 Typical High $1,258.93 | Facility | None | $173.78 | $616.60 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $575.44 | Professional | None | $128.82 | $194.98 | $575.44 |
DeanCare Setting Facility Modifier None Typical Low $85.11 Median $295.12 Typical High $338.84 | Facility | None | $85.11 | $295.12 | $338.84 |
DeanCare Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $398.11 | Professional | None | $295.12 | $371.54 | $398.11 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $1,380.38 | Facility | None | $151.36 | $295.12 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $389.05 | Professional | None | $131.83 | $190.55 | $389.05 |
Network Health Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Network Health Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $524.81 | Professional | None | $213.80 | $281.84 | $524.81 |
Prevea360 Setting Facility Modifier None Typical Low $85.11 Median $295.12 Typical High $338.84 | Facility | None | $85.11 | $295.12 | $338.84 |
Prevea360 Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $295.12 | Professional | None | $169.82 | $288.40 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $676.08 | Professional | None | $295.12 | $426.58 | $676.08 |
Quartz Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | None | $234.42 | $281.84 | $281.84 |
The Alliance Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $257.04 | Professional | None | $104.71 | $147.91 | $257.04 |
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 $15.85 Median $15.85 Typical High $20.89 | Professional | RR · Rental | $15.85 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | UE · Used equipment | $120.23 | $120.23 | $128.82 |
Where Wisconsin sits
The same service costs 2.3 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· 8th of 51
$282
MT $295DE $129
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.