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 $6.17 Median $6.17 Typical High $7.94 | Facility | None | $6.17 | $6.17 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $61.66 | Professional | None | $6.03 | $6.17 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $13.18 Typical High $14.13 | Facility | None | $10.96 | $13.18 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $10.47 Typical High $37.15 | Professional | None | $2.51 | $10.47 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $19.50 | Facility | None | $12.59 | $14.79 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $13.18 Typical High $25.70 | Professional | None | $3.47 | $13.18 | $25.70 |
DeanCare Setting Facility Modifier None Typical Low $4.57 Median $25.70 Typical High $39.81 | Facility | None | $4.57 | $25.70 | $39.81 |
Medica Setting Facility Modifier None Typical Low $4.57 Median $51.29 Typical High $100.00 | Facility | None | $4.57 | $51.29 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $18.62 | Professional | None | $3.09 | $5.13 | $18.62 |
Network Health Setting Facility Modifier None Typical Low $6.17 Median $7.94 Typical High $14.79 | Facility | None | $6.17 | $7.94 | $14.79 |
Network Health Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $14.45 | Professional | None | $3.80 | $5.25 | $14.45 |
Prevea360 Setting Facility Modifier None Typical Low $4.07 Median $4.57 Typical High $6.61 | Facility | None | $4.07 | $4.57 | $6.61 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $11.75 Typical High $21.38 | Professional | None | $5.62 | $11.75 | $21.38 |
Quartz Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $57.54 | Professional | None | $2.45 | $3.47 | $57.54 |
Security Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $10.96 | Professional | None | $5.50 | $5.50 | $10.96 |
Security Health Setting Professional Modifier None Typical Low $5.50 Median $24.55 Typical High $35.48 | Professional | None | $5.50 | $24.55 | $35.48 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $10.47 | Facility | None | $6.17 | $6.17 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $19.50 | Professional | None | $2.57 | $4.37 | $19.50 |
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 $3.09 Median $3.09 Typical High $36.31 | Professional | 52 · Reduced service | $3.09 | $3.09 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $14.45 | Professional | 53 · Discontinued | $1.23 | $1.23 | $14.45 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.55 Median $5.13 Typical High $7.41 | Professional | QW · Waived lab test | $3.55 | $5.13 | $7.41 |
Where Wisconsin sits
The same service costs 9.5 times more in Minnesota 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· 8th of 51
$8.71
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.