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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $724.44 | Professional | None | $416.87 | $416.87 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $691.83 | Facility | None | $426.58 | $478.63 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $524.81 | Professional | None | $251.19 | $426.58 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $851.14 Typical High $1,778.28 | Facility | None | $269.15 | $851.14 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $794.33 | Professional | None | $194.98 | $295.12 | $794.33 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $416.87 Typical High $478.63 | Facility | None | $120.23 | $416.87 | $478.63 |
DeanCare Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $549.54 | Professional | None | $416.87 | $524.81 | $549.54 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $1,949.84 | Facility | None | $204.17 | $416.87 | $1,949.84 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $2,089.30 | Professional | None | $190.55 | $275.42 | $2,089.30 |
Network Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $724.44 | Professional | None | $302.00 | $389.05 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $416.87 Typical High $478.63 | Facility | None | $120.23 | $416.87 | $478.63 |
Prevea360 Setting Professional Modifier None Typical Low $239.88 Median $407.38 Typical High $416.87 | Professional | None | $239.88 | $407.38 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $933.25 | Professional | None | $407.38 | $588.84 | $933.25 |
Quartz Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $354.81 | Professional | None | $154.88 | $263.03 | $354.81 |
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 $25.12 Median $25.12 Typical High $29.51 | Professional | RR · Rental | $25.12 | $25.12 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | UE · Used equipment | $186.21 | $186.21 | $199.53 |
Where Wisconsin sits
The same service costs 2.6 times more in Kansas 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
$417
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.