How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,951 to $10,715Professionalmedian $4,467 · 10th to 90th $2,138 to $6,918
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $8,128.31 | Professional | None | $4,570.88 | $4,570.88 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,248.07 Typical High $7,585.78 | Facility | None | $4,677.35 | $5,248.07 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $6,025.60 | Professional | None | $2,754.23 | $4,677.35 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $9,332.54 Typical High $19,498.45 | Facility | None | $2,951.21 | $9,332.54 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $8,709.64 | Professional | None | $2,137.96 | $3,235.94 | $8,709.64 |
DeanCare Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $5,248.07 | Facility | None | $1,318.26 | $4,570.88 | $5,248.07 |
DeanCare Setting Professional Modifier None Typical Low $2,630.27 Median $4,466.84 Typical High $5,495.41 | Professional | None | $2,630.27 | $4,466.84 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $4,570.88 Typical High $21,379.62 | Facility | None | $2,290.87 | $4,570.88 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $22,908.68 | Professional | None | $2,137.96 | $3,019.95 | $22,908.68 |
Network Health Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Network Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $7,943.28 | Professional | None | $3,311.31 | $4,265.80 | $7,943.28 |
Prevea360 Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $5,248.07 | Facility | None | $1,318.26 | $4,570.88 | $5,248.07 |
Prevea360 Setting Professional Modifier None Typical Low $2,630.27 Median $4,466.84 Typical High $4,570.88 | Professional | None | $2,630.27 | $4,466.84 | $4,570.88 |
Quartz Setting Professional Modifier None Typical Low $4,466.84 Median $6,456.54 Typical High $10,232.93 | Professional | None | $4,466.84 | $6,456.54 | $10,232.93 |
Quartz 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 |
Quartz Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,137.96 | $2,951.21 |
United Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $3,890.45 | Professional | None | $1,698.24 | $2,884.03 | $3,890.45 |
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 $275.42 Median $275.42 Typical High $323.59 | Professional | RR · Rental | $275.42 | $275.42 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,187.76 |
Where Wisconsin sits
The same service costs 2.2 times more in Montana than in Florida. 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· 5th of 51
$4,571
MT $4,786FL $2,138
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.