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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $123.03 | Professional | None | $10.00 | $16.60 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $38.02 | Facility | None | $29.51 | $35.48 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $28.18 Typical High $67.61 | Professional | None | $8.32 | $28.18 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $39.81 Typical High $52.48 | Facility | None | $33.88 | $39.81 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $23.44 Typical High $42.66 | Professional | None | $6.46 | $23.44 | $42.66 |
DeanCare Setting Facility Modifier None Typical Low $6.76 Median $41.69 Typical High $66.07 | Facility | None | $6.76 | $41.69 | $66.07 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $17.38 Typical High $173.78 | Facility | None | $6.76 | $17.38 | $173.78 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $13.80 Typical High $42.66 | Professional | None | $7.94 | $13.80 | $42.66 |
Network Health Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $23.99 | Facility | None | $13.18 | $13.18 | $23.99 |
Network Health Setting Professional Modifier None Typical Low $10.23 Median $14.13 Typical High $38.90 | Professional | None | $10.23 | $14.13 | $38.90 |
Prevea360 Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $17.38 | Facility | None | $6.76 | $11.22 | $17.38 |
Quartz Setting Professional Modifier None Typical Low $15.14 Median $31.62 Typical High $45.71 | Professional | None | $15.14 | $31.62 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $35.48 | Professional | None | $5.50 | $6.46 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $29.51 | Professional | None | $8.71 | $8.71 | $29.51 |
Security Health Setting Professional Modifier None Typical Low $8.71 Median $58.88 Typical High $95.50 | Professional | None | $8.71 | $58.88 | $95.50 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $42.66 | Professional | None | $6.92 | $11.48 | $42.66 |
1 more rate 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 QW · Waived lab test Typical Low $9.55 Median $13.80 Typical High $19.95 | Professional | QW · Waived lab test | $9.55 | $13.80 | $19.95 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska 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· 5th of 51
$19.05
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.