How much rates vary
Facilitymedian $21,878 · 10th to 90th $12,882 to $50,119Professionalmedian $20,417 · 10th to 90th $10,000 to $32,359
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 $21,379.62 Median $21,379.62 Typical High $21,379.62 | Facility | None | $21,379.62 | $21,379.62 | $21,379.62 |
Aetna Setting Professional Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $37,153.52 | Professional | None | $21,379.62 | $21,379.62 | $37,153.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $21,877.62 Median $24,547.09 Typical High $35,481.34 | Facility | None | $21,877.62 | $24,547.09 | $35,481.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $11,220.18 Median $21,877.62 Typical High $26,915.35 | Professional | None | $11,220.18 | $21,877.62 | $26,915.35 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $43,651.58 Typical High $91,201.08 | Facility | None | $12,882.50 | $43,651.58 | $91,201.08 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $14,125.38 Typical High $40,738.03 | Professional | None | $9,332.54 | $14,125.38 | $40,738.03 |
DeanCare Setting Facility Modifier None Typical Low $6,309.57 Median $21,379.62 Typical High $24,547.09 | Facility | None | $6,309.57 | $21,379.62 | $24,547.09 |
DeanCare Setting Professional Modifier None Typical Low $19,498.45 Median $21,379.62 Typical High $26,915.35 | Professional | None | $19,498.45 | $21,379.62 | $26,915.35 |
Medica Setting Facility Modifier None Typical Low $10,715.19 Median $21,379.62 Typical High $97,723.72 | Facility | None | $10,715.19 | $21,379.62 | $97,723.72 |
Medica Setting Professional Modifier None Typical Low $10,000.00 Median $14,125.38 Typical High $107,151.93 | Professional | None | $10,000.00 | $14,125.38 | $107,151.93 |
Network Health Setting Facility Modifier None Typical Low $34,673.69 Median $34,673.69 Typical High $34,673.69 | Facility | None | $34,673.69 | $34,673.69 | $34,673.69 |
Network Health Setting Professional Modifier None Typical Low $15,488.17 Median $19,952.62 Typical High $37,153.52 | Professional | None | $15,488.17 | $19,952.62 | $37,153.52 |
Prevea360 Setting Facility Modifier None Typical Low $6,309.57 Median $21,379.62 Typical High $24,547.09 | Facility | None | $6,309.57 | $21,379.62 | $24,547.09 |
Prevea360 Setting Professional Modifier None Typical Low $20,892.96 Median $20,892.96 Typical High $21,379.62 | Professional | None | $20,892.96 | $20,892.96 | $21,379.62 |
Quartz Setting Professional Modifier None Typical Low $20,892.96 Median $30,199.52 Typical High $47,863.01 | Professional | None | $20,892.96 | $30,199.52 | $47,863.01 |
Quartz Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Quartz Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
United Setting Facility Modifier None Typical Low $30,902.95 Median $30,902.95 Typical High $30,902.95 | Facility | None | $30,902.95 | $30,902.95 | $30,902.95 |
United Setting Professional Modifier None Typical Low $7,762.47 Median $14,125.38 Typical High $19,054.61 | Professional | None | $7,762.47 | $14,125.38 | $19,054.61 |
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 $1,122.02 Median $1,122.02 Typical High $1,479.11 | Professional | RR · Rental | $1,122.02 | $1,122.02 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8,511.38 Median $8,511.38 Typical High $9,120.11 | Professional | UE · Used equipment | $8,511.38 | $8,511.38 | $9,120.11 |
Where Wisconsin sits
The same service costs 2.3 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· 2nd of 51
$21,380
MT $21,878DE $9,333
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.