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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $9,549.93 | Professional | None | $2,089.30 | $2,089.30 | $9,549.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $3,467.37 | Facility | None | $2,137.96 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,137.96 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $6,606.93 Typical High $8,912.51 | Facility | None | $1,659.59 | $6,606.93 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $3,981.07 | Professional | None | $1,412.54 | $1,778.28 | $3,981.07 |
DeanCare Setting Facility Modifier None Typical Low $933.25 Median $2,089.30 Typical High $2,398.83 | Facility | None | $933.25 | $2,089.30 | $2,398.83 |
DeanCare Setting Professional Modifier None Typical Low $1,905.46 Median $3,981.07 Typical High $4,570.88 | Professional | None | $1,905.46 | $3,981.07 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $9,772.37 | Facility | None | $1,047.13 | $2,089.30 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $10,471.29 | Professional | None | $1,047.13 | $1,737.80 | $10,471.29 |
Network Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $4,168.69 | Professional | None | $1,819.70 | $2,454.71 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $2,089.30 Typical High $2,398.83 | Facility | None | $933.25 | $2,089.30 | $2,398.83 |
Prevea360 Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,089.30 | Professional | None | $1,862.09 | $2,041.74 | $2,089.30 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $4,677.35 | Professional | None | $2,041.74 | $3,162.28 | $4,677.35 |
Quartz Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $2,290.87 | Professional | None | $776.25 | $1,548.82 | $2,290.87 |
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 $257.04 Median $257.04 Typical High $316.23 | Professional | RR · Rental | $257.04 | $257.04 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | UE · Used equipment | $1,905.46 | $1,905.46 | $1,905.46 |
Where Wisconsin sits
The same service costs 1.9 times more in Hawaii than in New Jersey. 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· 6th of 51
$2,138
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.