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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,786.30 | Professional | None | $1,348.96 | $1,348.96 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,137.96 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,862.09 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $3,801.89 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $3,548.13 | Professional | None | $758.58 | $1,096.48 | $3,548.13 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $1,862.09 Typical High $2,137.96 | Facility | None | $524.81 | $1,862.09 | $2,137.96 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,778.28 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,862.09 Typical High $8,511.38 | Facility | None | $912.01 | $1,862.09 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $2,398.83 | Professional | None | $812.83 | $1,174.90 | $2,398.83 |
Network Health Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Network Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $3,235.94 | Professional | None | $1,318.26 | $1,737.80 | $3,235.94 |
Prevea360 Setting Facility Modifier None Typical Low $524.81 Median $1,862.09 Typical High $2,137.96 | Facility | None | $524.81 | $1,862.09 | $2,137.96 |
Prevea360 Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,778.28 | $1,862.09 |
Quartz Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,819.70 | $2,630.27 | $4,168.69 |
Quartz Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,584.89 | Professional | None | $645.65 | $912.01 | $1,584.89 |
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 $100.00 Median $100.00 Typical High $131.83 | Professional | RR · Rental | $100.00 | $100.00 | $131.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $812.83 | Professional | UE · Used equipment | $758.58 | $758.58 | $812.83 |
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· 9th of 51
$1,738
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.