How much rates vary
Facilitymedian $74 · 10th to 90th $36 to $170Professionalmedian $68 · 10th to 90th $27 to $110
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $151.36 | Professional | None | $40.74 | $52.48 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $120.23 | Facility | None | $74.13 | $83.18 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $74.13 Typical High $91.20 | Professional | None | $33.88 | $74.13 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $147.91 Typical High $309.03 | Facility | None | $36.31 | $147.91 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $138.04 | Professional | None | $26.92 | $40.74 | $138.04 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $72.44 Typical High $83.18 | Facility | None | $17.38 | $72.44 | $83.18 |
DeanCare Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $100.00 | Professional | None | $72.44 | $93.33 | $100.00 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $288.40 | Facility | None | $36.31 | $72.44 | $288.40 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $93.33 | Professional | None | $26.92 | $41.69 | $93.33 |
Network Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $125.89 | Professional | None | $52.48 | $67.61 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $72.44 Typical High $83.18 | Facility | None | $17.38 | $72.44 | $83.18 |
Prevea360 Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $72.44 | Professional | None | $41.69 | $70.79 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $97.72 Typical High $138.04 | Professional | None | $60.26 | $97.72 | $138.04 |
Quartz Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | None | $57.54 | $67.61 | $67.61 |
The Alliance Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $61.66 | Professional | None | $23.99 | $36.31 | $61.66 |
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 $3.24 Median $3.24 Typical High $4.37 | Professional | RR · Rental | $3.24 | $3.24 | $4.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | UE · Used equipment | $24.55 | $24.55 | $26.30 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii 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· 2nd of 51
$67.61
HI $75.86DE $26.92
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.