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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $190.55 | Professional | None | $61.66 | $77.62 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $177.83 | Facility | None | $107.15 | $123.03 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $134.90 | Professional | None | $60.26 | $107.15 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $7.24 | Professional | RR · Rental | $5.75 | $5.75 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $457.09 | Facility | None | $60.26 | $218.78 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $204.17 | Professional | None | $43.65 | $66.07 | $204.17 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $10.23 | Professional | RR · Rental | $5.13 | $5.13 | $10.23 |
DeanCare Setting Facility Modifier None Typical Low $26.92 Median $104.71 Typical High $123.03 | Facility | None | $26.92 | $104.71 | $123.03 |
DeanCare Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $144.54 | Professional | None | $104.71 | $138.04 | $144.54 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $104.71 Typical High $478.63 | Facility | None | $30.90 | $104.71 | $478.63 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $138.04 | Professional | None | $32.36 | $57.54 | $138.04 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Network Health Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $186.21 | Professional | None | $75.86 | $100.00 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $104.71 Typical High $123.03 | Facility | None | $26.92 | $104.71 | $123.03 |
Prevea360 Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $104.71 | Professional | None | $60.26 | $95.50 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $245.47 | Professional | None | $107.15 | $151.36 | $245.47 |
Quartz Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
Quartz Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Security Health Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | None | $85.11 | $100.00 | $100.00 |
The Alliance Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $239.88 | Professional | None | $93.33 | $144.54 | $239.88 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $91.20 | Professional | None | $35.48 | $52.48 | $91.20 |
1 more rate 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 UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
Where Wisconsin sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 3rd of 51
$100
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.