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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $524.81 | Professional | None | $131.83 | $131.83 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $223.87 | Facility | None | $134.90 | $154.88 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $234.42 | Professional | None | $125.89 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $275.42 Typical High $562.34 | Facility | None | $104.71 | $275.42 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $257.04 | Professional | None | $89.13 | $112.20 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $38.02 Median $131.83 Typical High $151.36 | Facility | None | $38.02 | $131.83 | $151.36 |
DeanCare Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $281.84 | Professional | None | $131.83 | $269.15 | $281.84 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $131.83 Typical High $616.60 | Facility | None | $66.07 | $131.83 | $616.60 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $660.69 | Professional | None | $61.66 | $89.13 | $660.69 |
Network Health Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $229.09 | Professional | None | $95.50 | $123.03 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $38.02 Median $131.83 Typical High $151.36 | Facility | None | $38.02 | $131.83 | $151.36 |
Prevea360 Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $131.83 | Professional | None | $75.86 | $128.82 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $295.12 | Professional | None | $128.82 | $199.53 | $295.12 |
Quartz Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None | $104.71 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $112.20 | Professional | None | $48.98 | $85.11 | $112.20 |
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 $23.44 Median $23.44 Typical High $25.12 | Professional | RR · Rental | $23.44 | $23.44 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $151.36 | $177.83 | $177.83 |
Where Wisconsin sits
The same service costs 2.0 times more in Montana 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· 3rd of 51
$135
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.