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 $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $501.19 | Professional | None | $131.83 | $169.82 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $398.11 | Facility | None | $239.88 | $269.15 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $295.12 | Professional | None | $131.83 | $239.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $478.63 Typical High $1,000.00 | Facility | None | $131.83 | $478.63 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $446.68 | Professional | None | $95.50 | $144.54 | $446.68 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $234.42 Typical High $269.15 | Facility | None | $67.61 | $234.42 | $269.15 |
DeanCare Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $309.03 | Professional | None | $234.42 | $295.12 | $309.03 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $234.42 Typical High $1,096.48 | Facility | None | $117.49 | $234.42 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $302.00 | Professional | None | $102.33 | $147.91 | $302.00 |
Network Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Network Health Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $407.38 | Professional | None | $169.82 | $218.78 | $407.38 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $234.42 Typical High $269.15 | Facility | None | $67.61 | $234.42 | $269.15 |
Prevea360 Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $234.42 | Professional | None | $134.90 | $229.09 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $524.81 | Professional | None | $229.09 | $331.13 | $524.81 |
Quartz Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $199.53 | Professional | None | $81.28 | $117.49 | $199.53 |
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 $12.59 Median $12.59 Typical High $16.60 | Professional | RR · Rental | $12.59 | $12.59 | $16.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | UE · Used equipment | $95.50 | $95.50 | $102.33 |
Where Wisconsin sits
The same service costs 2.3 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· 6th of 51
$224
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.