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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | None | $46.77 | $46.77 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $54.95 Typical High $79.43 | Facility | None | $47.86 | $54.95 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $60.26 | Professional | None | $28.84 | $47.86 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $204.17 | Facility | None | $30.90 | $97.72 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $33.88 Typical High $91.20 | Professional | None | $22.39 | $33.88 | $91.20 |
DeanCare Setting Facility Modifier None Typical Low $23.99 Median $46.77 Typical High $54.95 | Facility | None | $23.99 | $46.77 | $54.95 |
DeanCare Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $57.54 | Professional | None | $42.66 | $46.77 | $57.54 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $46.77 Typical High $218.78 | Facility | None | $30.90 | $46.77 | $218.78 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $239.88 | Professional | None | $21.88 | $34.67 | $239.88 |
Network Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $83.18 | Professional | None | $33.88 | $44.67 | $83.18 |
Prevea360 Setting Facility Modifier None Typical Low $23.99 Median $46.77 Typical High $54.95 | Facility | None | $23.99 | $46.77 | $54.95 |
Prevea360 Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None | $45.71 | $45.71 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $107.15 | Professional | None | $46.77 | $67.61 | $107.15 |
Quartz Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $41.69 | Professional | None | $17.78 | $31.62 | $41.69 |
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 $2.88 Median $2.88 Typical High $3.39 | Professional | RR · Rental | $2.88 | $2.88 | $3.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | UE · Used equipment | $21.38 | $21.38 | $23.44 |
Where Wisconsin sits
The same service costs 2.2 times more in Montana than in Vermont. 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· 7th of 51
$46.77
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.