How much rates vary
Facilitymedian $3,311 · 10th to 90th $2,291 to $7,244Professionalmedian $3,090 · 10th to 90th $1,622 to $5,012
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,265.80 | Professional | None | $3,311.31 | $3,311.31 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,801.89 Typical High $5,495.41 | Facility | None | $3,311.31 | $3,801.89 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $3,311.31 Typical High $4,168.69 | Professional | None | $1,621.81 | $3,311.31 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $6,760.83 Typical High $14,125.38 | Facility | None | $2,290.87 | $6,760.83 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $6,309.57 | Professional | None | $1,659.59 | $2,511.89 | $6,309.57 |
DeanCare Setting Facility Modifier None Typical Low $870.96 Median $3,311.31 Typical High $3,801.89 | Facility | None | $870.96 | $3,311.31 | $3,801.89 |
DeanCare Setting Professional Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $3,981.07 | Professional | None | $1,862.09 | $3,311.31 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $3,311.31 Typical High $14,125.38 | Facility | None | $1,479.11 | $3,311.31 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $18,620.87 | Professional | None | $1,513.56 | $2,041.74 | $18,620.87 |
Network Health Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Network Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $5,754.40 | Professional | None | $2,344.23 | $3,090.30 | $5,754.40 |
Prevea360 Setting Facility Modifier None Typical Low $870.96 Median $3,311.31 Typical High $3,801.89 | Facility | None | $870.96 | $3,311.31 | $3,801.89 |
Prevea360 Setting Professional Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $3,548.13 | Professional | None | $1,862.09 | $3,311.31 | $3,548.13 |
Quartz Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $6,760.83 | Professional | None | $2,951.21 | $4,466.84 | $6,760.83 |
Quartz Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,122.02 | $1,995.26 | $2,818.38 |
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 $162.18 Median $162.18 Typical High $213.80 | Professional | RR · Rental | $162.18 | $162.18 | $213.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,202.26 | $1,202.26 | $1,318.26 |
Where Wisconsin sits
The same service costs 3.2 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· 3rd of 51
$3,311
HI $4,677DC $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.