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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $954.99 | Professional | None | $501.19 | $501.19 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $851.14 | Facility | None | $512.86 | $588.84 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $512.86 Typical High $630.96 | Professional | None | $257.04 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,047.13 Typical High $2,187.76 | Facility | None | $323.59 | $1,047.13 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $977.24 | Professional | None | $239.88 | $363.08 | $977.24 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $501.19 Typical High $575.44 | Facility | None | $134.90 | $501.19 | $575.44 |
DeanCare Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $758.58 | Professional | None | $512.86 | $724.44 | $758.58 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $2,238.72 | Facility | None | $234.42 | $501.19 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $2,754.23 | Professional | None | $234.42 | $323.59 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Network Health Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $891.25 | Professional | None | $363.08 | $478.63 | $891.25 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $501.19 Typical High $575.44 | Facility | None | $134.90 | $501.19 | $575.44 |
Prevea360 Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $512.86 | Professional | None | $288.40 | $501.19 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,071.52 | Professional | None | $467.74 | $676.08 | $1,071.52 |
Quartz Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $173.78 Median $316.23 Typical High $436.52 | Professional | None | $173.78 | $316.23 | $436.52 |
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 $25.70 Median $25.70 Typical High $33.88 | Professional | RR · Rental | $25.70 | $25.70 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | UE · Used equipment | $194.98 | $194.98 | $208.93 |
Where Wisconsin sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$501
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.