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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,479.11 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,511.89 | Facility | None | $1,513.56 | $1,737.80 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $1,862.09 | Professional | None | $812.83 | $1,513.56 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $3,090.30 Typical High $6,456.54 | Facility | None | $977.24 | $3,090.30 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $2,884.03 | Professional | None | $707.95 | $1,047.13 | $2,884.03 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $1,479.11 Typical High $1,737.80 | Facility | None | $446.68 | $1,479.11 | $1,737.80 |
DeanCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,479.11 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $6,918.31 | Facility | None | $758.58 | $1,479.11 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $7,585.78 | Professional | None | $691.83 | $1,000.00 | $7,585.78 |
Network Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Network Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,412.54 | $2,630.27 |
Prevea360 Setting Facility Modifier None Typical Low $446.68 Median $1,479.11 Typical High $1,737.80 | Facility | None | $446.68 | $1,479.11 | $1,737.80 |
Prevea360 Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,445.44 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,137.96 | $3,388.44 |
Quartz Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None | $707.95 | $707.95 | $977.24 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,318.26 | Professional | None | $549.54 | $1,000.00 | $1,318.26 |
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 $81.28 Median $81.28 Typical High $229.09 | Professional | RR · Rental | $81.28 | $81.28 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | UE · Used equipment | $602.56 | $602.56 | $660.69 |
Where Wisconsin sits
The same service costs 2.2 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· 5th of 51
$1,479
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.