How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,349 to $4,898Professionalmedian $1,950 · 10th to 90th $977 to $3,236
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $12,882.50 | Professional | None | $1,513.56 | $1,513.56 | $12,882.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,467.37 | Facility | None | $2,089.30 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,122.02 | $2,089.30 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $4,265.80 Typical High $8,912.51 | Facility | None | $1,348.96 | $4,265.80 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $3,981.07 | Professional | None | $977.24 | $1,445.44 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $588.84 Median $2,041.74 Typical High $2,398.83 | Facility | None | $588.84 | $2,041.74 | $2,398.83 |
DeanCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,995.26 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,041.74 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,691.53 | Professional | None | $912.01 | $1,318.26 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Network Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,479.11 | $1,949.84 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $588.84 Median $2,041.74 Typical High $2,398.83 | Facility | None | $588.84 | $2,041.74 | $2,398.83 |
Prevea360 Setting Professional Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,995.26 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $4,677.35 | Professional | None | $2,041.74 | $3,162.28 | $4,677.35 |
Quartz Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,778.28 | Professional | None | $724.44 | $1,023.29 | $1,778.28 |
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 $112.20 Median $112.20 Typical High $147.91 | Professional | RR · Rental | $112.20 | $112.20 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $851.14 | $912.01 |
Where Wisconsin sits
The same service costs 2.2 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· 9th of 51
$1,950
MT $2,188DE $977
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.