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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $912.01 | Professional | None | $257.04 | $257.04 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $588.84 | Facility | None | $363.08 | $407.38 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $446.68 | Professional | None | $190.55 | $363.08 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $724.44 Typical High $1,513.56 | Facility | None | $213.80 | $724.44 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $676.08 | Professional | None | $154.88 | $234.42 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $354.81 Typical High $407.38 | Facility | None | $102.33 | $354.81 | $407.38 |
DeanCare Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $467.74 | Professional | None | $354.81 | $436.52 | $467.74 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $354.81 Typical High $1,621.81 | Facility | None | $177.83 | $354.81 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $457.09 | Professional | None | $154.88 | $223.87 | $457.09 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Network Health Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $616.60 | Professional | None | $257.04 | $331.13 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $354.81 Typical High $407.38 | Facility | None | $102.33 | $354.81 | $407.38 |
Prevea360 Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $354.81 | Professional | None | $199.53 | $346.74 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $794.33 | Professional | None | $346.74 | $501.19 | $794.33 |
Quartz Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $302.00 | Professional | None | $123.03 | $173.78 | $302.00 |
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 $19.05 Median $19.05 Typical High $25.12 | Professional | RR · Rental | $19.05 | $19.05 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | UE · Used equipment | $144.54 | $144.54 | $154.88 |
Where Wisconsin sits
The same service costs 2.4 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
$331
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.