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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $138.04 | Professional | None | $50.12 | $50.12 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $85.11 | Facility | None | $51.29 | $58.88 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $89.13 | Professional | None | $47.86 | $51.29 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $104.71 Typical High $213.80 | Facility | None | $39.81 | $104.71 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $97.72 | Professional | None | $33.88 | $42.66 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $57.54 | Facility | None | $14.45 | $50.12 | $57.54 |
DeanCare Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $77.62 | Professional | None | $50.12 | $74.13 | $77.62 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $50.12 Typical High $234.42 | Facility | None | $25.12 | $50.12 | $234.42 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $257.04 | Professional | None | $23.44 | $33.88 | $257.04 |
Network Health Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $89.13 | Professional | None | $36.31 | $47.86 | $89.13 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $57.54 | Facility | None | $14.45 | $50.12 | $57.54 |
Prevea360 Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $50.12 | Professional | None | $28.84 | $48.98 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $114.82 | Professional | None | $50.12 | $72.44 | $114.82 |
Quartz Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Quartz Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $18.62 Median $32.36 Typical High $43.65 | Professional | None | $18.62 | $32.36 | $43.65 |
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 $8.91 Median $8.91 Typical High $9.77 | Professional | RR · Rental | $8.91 | $8.91 | $9.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | UE · Used equipment | $57.54 | $67.61 | $67.61 |
Where Wisconsin sits
The same service costs 2.2 times more in Minnesota than in Kentucky. 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
$51.29
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.