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 $5.50 Median $5.50 Typical High $6.31 | Facility | None | $5.50 | $5.50 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.50 Typical High $33.88 | Professional | None | $5.37 | $5.50 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $12.02 Typical High $12.59 | Facility | None | $10.00 | $12.02 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.29 Median $9.33 Typical High $33.11 | Professional | None | $2.29 | $9.33 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
CareSource Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $13.49 Typical High $18.20 | Facility | None | $11.75 | $13.49 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $7.94 Typical High $14.45 | Professional | None | $3.09 | $7.94 | $14.45 |
DeanCare Setting Facility Modifier None Typical Low $4.07 Median $22.91 Typical High $35.48 | Facility | None | $4.07 | $22.91 | $35.48 |
Medica Setting Facility Modifier None Typical Low $3.72 Median $5.50 Typical High $100.00 | Facility | None | $3.72 | $5.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.69 Median $4.57 Typical High $15.14 | Professional | None | $2.69 | $4.57 | $15.14 |
Network Health Setting Facility Modifier None Typical Low $5.50 Median $7.08 Typical High $13.18 | Facility | None | $5.50 | $7.08 | $13.18 |
Network Health Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $12.88 | Professional | None | $3.47 | $4.68 | $12.88 |
Prevea360 Setting Facility Modifier None Typical Low $3.72 Median $4.17 Typical High $5.89 | Facility | None | $3.72 | $4.17 | $5.89 |
Quartz Setting Professional Modifier None Typical Low $5.25 Median $10.96 Typical High $19.50 | Professional | None | $5.25 | $10.96 | $19.50 |
Quartz Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $12.02 | Professional | None | $2.19 | $3.09 | $12.02 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $9.77 | Professional | None | $6.03 | $6.03 | $9.77 |
Security Health Setting Professional Modifier None Typical Low $6.03 Median $18.20 Typical High $32.36 | Professional | None | $6.03 | $18.20 | $32.36 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.89 Typical High $17.38 | Professional | None | $2.29 | $3.89 | $17.38 |
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 $2.75 Median $2.75 Typical High $16.98 | Professional | 52 · Reduced service | $2.75 | $2.75 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $6.76 | Professional | 53 · Discontinued | $1.10 | $1.10 | $6.76 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.16 Median $4.57 Typical High $6.76 | Professional | QW · Waived lab test | $3.16 | $4.57 | $6.76 |
Where Wisconsin sits
The same service costs 4.4 times more in Minnesota 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
$6.61
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.