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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,412.54 | Professional | None | $812.83 | $812.83 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $1,380.38 | Facility | None | $831.76 | $933.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $831.76 Typical High $1,071.52 | Professional | None | $436.52 | $831.76 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,659.59 Typical High $3,467.37 | Facility | None | $524.81 | $1,659.59 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $1,584.89 | Professional | None | $380.19 | $588.84 | $1,584.89 |
DeanCare Setting Facility Modifier None Typical Low $245.47 Median $812.83 Typical High $933.25 | Facility | None | $245.47 | $812.83 | $933.25 |
DeanCare Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $977.24 | Professional | None | $741.31 | $812.83 | $977.24 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $3,801.89 | Facility | None | $407.38 | $812.83 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $4,073.80 | Professional | None | $380.19 | $549.54 | $4,073.80 |
Network Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Network Health Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,412.54 | Professional | None | $588.84 | $758.58 | $1,412.54 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $812.83 Typical High $933.25 | Facility | None | $245.47 | $812.83 | $933.25 |
Prevea360 Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | None | $794.33 | $794.33 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,819.70 | Professional | None | $794.33 | $1,148.15 | $1,819.70 |
Quartz Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
United 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 |
United Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $724.44 | Professional | None | $302.00 | $537.03 | $724.44 |
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 $43.65 Median $43.65 Typical High $123.03 | Professional | RR · Rental | $43.65 | $43.65 | $123.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $331.13 | $331.13 | $354.81 |
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· 4th of 51
$813
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.