How much rates vary
Facilitymedian $6,918 · 10th to 90th $3,802 to $14,791Professionalmedian $6,607 · 10th to 90th $3,090 to $10,233
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 $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $10,715.19 | Professional | None | $6,760.83 | $6,760.83 | $10,715.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $7,762.47 Typical High $11,220.18 | Facility | None | $6,918.31 | $7,762.47 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $6,918.31 Typical High $8,511.38 | Professional | None | $3,715.35 | $6,918.31 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $13,803.84 Typical High $28,840.32 | Facility | None | $3,801.89 | $13,803.84 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $12,882.50 | Professional | None | $2,754.23 | $4,073.80 | $12,882.50 |
DeanCare Setting Facility Modifier None Typical Low $1,949.84 Median $6,760.83 Typical High $7,762.47 | Facility | None | $1,949.84 | $6,760.83 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $8,128.31 | Professional | None | $3,801.89 | $6,760.83 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $32,359.37 | Facility | None | $3,388.44 | $6,760.83 | $32,359.37 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $51,286.14 | Professional | None | $3,090.30 | $4,570.88 | $51,286.14 |
Network Health Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Network Health Setting Professional Modifier None Typical Low $4,897.79 Median $6,309.57 Typical High $11,748.98 | Professional | None | $4,897.79 | $6,309.57 | $11,748.98 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $6,760.83 Typical High $7,762.47 | Facility | None | $1,949.84 | $6,760.83 | $7,762.47 |
Prevea360 Setting Professional Modifier None Typical Low $3,801.89 Median $6,760.83 Typical High $8,128.31 | Professional | None | $3,801.89 | $6,760.83 | $8,128.31 |
Quartz Setting Professional Modifier None Typical Low $6,760.83 Median $9,772.37 Typical High $15,488.17 | Professional | None | $6,760.83 | $9,772.37 | $15,488.17 |
Quartz Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Quartz Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,754.23 | $2,754.23 | $3,801.89 |
United Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $4,365.16 Typical High $5,754.40 | Professional | None | $2,511.89 | $4,365.16 | $5,754.40 |
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 $371.54 Median $371.54 Typical High $1,023.29 | Professional | RR · Rental | $371.54 | $371.54 | $1,023.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $3,019.95 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $3,019.95 |
Where Wisconsin sits
The same service costs 4.7 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
$6,761
HI $12,882DE $2,754
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.