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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $1,479.11 | Professional | None | $426.58 | $426.58 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $977.24 | Facility | None | $588.84 | $676.08 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $741.31 | Professional | None | $323.59 | $588.84 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,202.26 Typical High $2,511.89 | Facility | None | $323.59 | $1,202.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $1,122.02 | Professional | None | $239.88 | $363.08 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $165.96 Median $588.84 Typical High $676.08 | Facility | None | $165.96 | $588.84 | $676.08 |
DeanCare Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $776.25 | Professional | None | $588.84 | $741.31 | $776.25 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $588.84 Typical High $2,691.53 | Facility | None | $295.12 | $588.84 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $758.58 | Professional | None | $257.04 | $371.54 | $758.58 |
Network Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Network Health Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $1,023.29 | Professional | None | $416.87 | $549.54 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $588.84 Typical High $676.08 | Facility | None | $165.96 | $588.84 | $676.08 |
Prevea360 Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $588.84 | Professional | None | $331.13 | $575.44 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,318.26 | Professional | None | $575.44 | $831.76 | $1,318.26 |
Quartz Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $501.19 | Professional | None | $204.17 | $288.40 | $501.19 |
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 $31.62 Median $31.62 Typical High $41.69 | Professional | RR · Rental | $31.62 | $31.62 | $41.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | UE · Used equipment | $239.88 | $239.88 | $257.04 |
Where Wisconsin sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 9th of 51
$550
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.