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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | None | $426.58 | $426.58 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $707.95 | Facility | None | $426.58 | $489.78 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $537.03 | Professional | None | $257.04 | $426.58 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $870.96 Typical High $1,819.70 | Facility | None | $275.42 | $870.96 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $812.83 | Professional | None | $204.17 | $295.12 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $489.78 | Facility | None | $213.80 | $426.58 | $489.78 |
DeanCare Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $512.86 | Professional | None | $380.19 | $457.09 | $512.86 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $1,995.26 | Facility | None | $275.42 | $426.58 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $2,187.76 | Professional | None | $194.98 | $309.03 | $2,187.76 |
Network Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $741.31 | Professional | None | $302.00 | $398.11 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $489.78 | Facility | None | $213.80 | $426.58 | $489.78 |
Prevea360 Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | None | $426.58 | $426.58 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $954.99 | Professional | None | $416.87 | $602.56 | $954.99 |
Quartz Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $371.54 | Professional | None | $158.49 | $281.84 | $371.54 |
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 $25.70 Median $25.70 Typical High $30.20 | Professional | RR · Rental | $25.70 | $25.70 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | UE · Used equipment | $194.98 | $194.98 | $208.93 |
Where Wisconsin sits
The same service costs 2.5 times more in Hawaii 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
$427
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.