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 $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $77.62 | Professional | None | $5.89 | $7.41 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $16.98 | Facility | None | $13.49 | $16.22 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $12.59 Typical High $28.84 | Professional | None | $3.72 | $12.59 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $17.78 Typical High $23.44 | Facility | None | $15.49 | $17.78 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $10.47 Typical High $19.50 | Professional | None | $4.68 | $10.47 | $19.50 |
DeanCare Setting Facility Modifier None Typical Low $4.07 Median $15.14 Typical High $23.44 | Facility | None | $4.07 | $15.14 | $23.44 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $6.17 Typical High $70.79 | Facility | None | $4.07 | $6.17 | $70.79 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $6.17 Typical High $16.98 | Professional | None | $3.63 | $6.17 | $16.98 |
Network Health Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $9.55 | Facility | None | $4.68 | $4.68 | $9.55 |
Network Health Setting Professional Modifier None Typical Low $4.68 Median $6.17 Typical High $17.78 | Professional | None | $4.68 | $6.17 | $17.78 |
Prevea360 Setting Facility Modifier None Typical Low $4.07 Median $5.13 Typical High $7.94 | Facility | None | $4.07 | $5.13 | $7.94 |
Quartz Setting Professional Modifier None Typical Low $7.08 Median $15.14 Typical High $22.39 | Professional | None | $7.08 | $15.14 | $22.39 |
Quartz Setting Professional Modifier None Typical Low $2.95 Median $4.68 Typical High $16.22 | Professional | None | $2.95 | $4.68 | $16.22 |
Security Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Security Health Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $43.65 | Professional | None | $13.18 | $15.14 | $43.65 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.17 Typical High $19.05 | Professional | None | $3.63 | $6.17 | $19.05 |
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 $3.72 Median $3.72 Typical High $38.90 | Professional | 52 · Reduced service | $3.72 | $3.72 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $15.49 | Professional | 53 · Discontinued | $1.51 | $1.51 | $15.49 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $6.17 Typical High $9.12 | Professional | QW · Waived lab test | $4.27 | $6.17 | $9.12 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Alabama. 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
$8.91
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.