How much rates vary
Facilitymedian $37 · 10th to 90th $17 to $148Professionalmedian $31 · 10th to 90th $11 to $129
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 $21.38 Median $22.39 Typical High $28.84 | Facility | None | $21.38 | $22.39 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $218.78 | Professional | None | $21.88 | $22.39 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $51.29 | Facility | None | $39.81 | $47.86 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $38.02 Typical High $134.90 | Professional | None | $13.80 | $38.02 | $134.90 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $53.70 Typical High $70.79 | Facility | None | $45.71 | $53.70 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $47.86 Typical High $93.33 | Professional | None | $14.13 | $47.86 | $93.33 |
DeanCare Setting Facility Modifier None Typical Low $16.60 Median $91.20 Typical High $144.54 | Facility | None | $16.60 | $91.20 | $144.54 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $87.10 Typical High $208.93 | Facility | None | $16.60 | $87.10 | $208.93 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $60.26 | Professional | None | $10.96 | $18.62 | $60.26 |
Network Health Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $53.70 | Facility | None | $22.39 | $28.84 | $53.70 |
Network Health Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $52.48 | Professional | None | $13.80 | $19.05 | $52.48 |
Prevea360 Setting Facility Modifier None Typical Low $14.79 Median $16.60 Typical High $23.99 | Facility | None | $14.79 | $16.60 | $23.99 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $77.62 | Professional | None | $20.89 | $44.67 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $177.83 | Professional | None | $12.30 | $14.13 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | None | $31.62 | $31.62 | $39.81 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $75.86 Typical High $128.82 | Professional | None | $31.62 | $75.86 | $128.82 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $89.13 | Facility | None | $22.39 | $22.39 | $89.13 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $70.79 | Professional | None | $9.33 | $15.85 | $70.79 |
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 $11.22 Median $11.22 Typical High $109.65 | Professional | 52 · Reduced service | $11.22 | $11.22 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $43.65 | Professional | 53 · Discontinued | $4.47 | $4.47 | $43.65 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $12.88 Median $18.62 Typical High $26.92 | Professional | QW · Waived lab test | $12.88 | $18.62 | $26.92 |
Where Wisconsin sits
The same service costs 6.8 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· 8th of 51
$31.62
VT $95.50MD $14.13
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.