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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $177.83 Typical High $512.86 | Professional | None | $169.82 | $177.83 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $407.38 | Facility | None | $245.47 | $281.84 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $323.59 | Professional | None | $131.83 | $245.47 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $501.19 Typical High $1,047.13 | Facility | None | $134.90 | $501.19 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $467.74 | Professional | None | $97.72 | $151.36 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $69.18 Median $239.88 Typical High $275.42 | Facility | None | $69.18 | $239.88 | $275.42 |
DeanCare Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $316.23 | Professional | None | $239.88 | $295.12 | $316.23 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $239.88 Typical High $1,122.02 | Facility | None | $123.03 | $239.88 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $316.23 | Professional | None | $107.15 | $154.88 | $316.23 |
Network Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Network Health Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $426.58 | Professional | None | $173.78 | $229.09 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $69.18 Median $239.88 Typical High $275.42 | Facility | None | $69.18 | $239.88 | $275.42 |
Prevea360 Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $239.88 | Professional | None | $138.04 | $234.42 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $549.54 | Professional | None | $239.88 | $346.74 | $549.54 |
Quartz Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $208.93 | Professional | None | $85.11 | $120.23 | $208.93 |
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 $13.18 Median $13.18 Typical High $16.98 | Professional | RR · Rental | $13.18 | $13.18 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | UE · Used equipment | $97.72 | $97.72 | $107.15 |
Where Wisconsin sits
The same service costs 2.6 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
$229
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.