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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,174.90 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,995.26 | Facility | None | $1,202.26 | $1,380.38 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $1,202.26 Typical High $1,479.11 | Professional | None | $602.56 | $1,202.26 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,454.71 Typical High $5,011.87 | Facility | None | $758.58 | $2,454.71 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $2,290.87 | Professional | None | $562.34 | $851.14 | $2,290.87 |
DeanCare Setting Facility Modifier None Typical Low $323.59 Median $1,174.90 Typical High $1,348.96 | Facility | None | $323.59 | $1,174.90 | $1,348.96 |
DeanCare Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,445.44 | Professional | None | $676.08 | $1,174.90 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,174.90 Typical High $5,370.32 | Facility | None | $562.34 | $1,174.90 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $6,456.54 | Professional | None | $549.54 | $776.25 | $6,456.54 |
Network Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Network Health Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $2,089.30 | Professional | None | $851.14 | $1,122.02 | $2,089.30 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $1,174.90 Typical High $1,348.96 | Facility | None | $323.59 | $1,174.90 | $1,348.96 |
Prevea360 Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,348.96 | Professional | None | $676.08 | $1,174.90 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,584.89 | $2,570.40 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $416.87 Median $758.58 Typical High $1,023.29 | Professional | None | $416.87 | $758.58 | $1,023.29 |
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 $60.26 Median $60.26 Typical High $79.43 | Professional | RR · Rental | $60.26 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $489.78 | Professional | UE · Used equipment | $457.09 | $457.09 | $489.78 |
Where Wisconsin sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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
$1,175
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.