How much rates vary
Facilitymedian $60 · 10th to 90th $10 to $195Professionalmedian $19 · 10th to 90th $9 to $98
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 $15.49 Median $16.22 Typical High $20.89 | Facility | None | $15.49 | $16.22 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $165.96 | Professional | None | $15.85 | $16.22 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $37.15 | Facility | None | $28.84 | $34.67 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $26.92 Typical High $97.72 | Professional | None | $10.00 | $26.92 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Facility | None | $33.11 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $37.15 Typical High $89.13 | Professional | None | $11.48 | $37.15 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $8.91 Median $66.07 Typical High $102.33 | Facility | None | $8.91 | $66.07 | $102.33 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $131.83 Typical High $213.80 | Facility | None | $16.22 | $131.83 | $213.80 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $51.29 | Professional | None | $7.94 | $13.49 | $51.29 |
Network Health Setting Facility Modifier None Typical Low $16.22 Median $20.89 Typical High $38.02 | Facility | None | $16.22 | $20.89 | $38.02 |
Network Health Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $38.02 | Professional | None | $10.00 | $13.80 | $38.02 |
Prevea360 Setting Facility Modifier None Typical Low $8.91 Median $10.96 Typical High $16.98 | Facility | None | $8.91 | $10.96 | $16.98 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $31.62 Typical High $56.23 | Professional | None | $14.79 | $31.62 | $56.23 |
Quartz Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $131.83 | Professional | None | $10.23 | $11.48 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $28.18 | Professional | None | $18.20 | $18.20 | $28.18 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $57.54 Typical High $97.72 | Professional | None | $18.20 | $57.54 | $97.72 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $16.22 | Facility | None | $3.63 | $3.63 | $16.22 |
United Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $51.29 | Professional | None | $6.76 | $11.22 | $51.29 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $83.18 | Professional | 52 · Reduced service | $7.94 | $7.94 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $33.11 | Professional | 53 · Discontinued | $3.24 | $3.24 | $33.11 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $13.49 Typical High $19.50 | Professional | QW · Waived lab test | $9.33 | $13.49 | $19.50 |
Where Wisconsin sits
The same service costs 10.7 times more in Vermont than in Maryland. 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· 9th of 51
$26.92
VT $110MD $10.23
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.