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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | None | $676.08 | $676.08 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $1,122.02 | Facility | None | $691.83 | $776.25 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $851.14 | Professional | None | $407.38 | $691.83 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,380.38 Typical High $2,884.03 | Facility | None | $436.52 | $1,380.38 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $1,288.25 | Professional | None | $316.23 | $478.63 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $194.98 Median $676.08 Typical High $776.25 | Facility | None | $194.98 | $676.08 | $776.25 |
DeanCare Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $933.25 | Professional | None | $676.08 | $870.96 | $933.25 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $3,090.30 | Facility | None | $331.13 | $676.08 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $3,388.44 | Professional | None | $309.03 | $446.68 | $3,388.44 |
Network Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Network Health Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,174.90 | Professional | None | $489.78 | $630.96 | $1,174.90 |
Prevea360 Setting Facility Modifier None Typical Low $194.98 Median $676.08 Typical High $776.25 | Facility | None | $194.98 | $676.08 | $776.25 |
Prevea360 Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $676.08 | Professional | None | $380.19 | $660.69 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,513.56 | Professional | None | $660.69 | $954.99 | $1,513.56 |
Quartz Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $575.44 | Professional | None | $251.19 | $426.58 | $575.44 |
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 $40.74 Median $40.74 Typical High $47.86 | Professional | RR · Rental | $40.74 | $40.74 | $47.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | UE · Used equipment | $302.00 | $302.00 | $323.59 |
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· 2nd of 51
$676
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.