How much rates vary
Facilitymedian $35 · 10th to 90th $10 to $126Professionalmedian $19 · 10th to 90th $7 to $63
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 $13.18 Median $13.80 Typical High $17.78 | Facility | None | $13.18 | $13.80 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $154.88 | Professional | None | $12.59 | $13.80 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $31.62 | Facility | None | $25.12 | $30.20 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $23.44 Typical High $77.62 | Professional | None | $7.94 | $23.44 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Facility | None | $28.84 | $33.88 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $19.95 Typical High $36.31 | Professional | None | $7.08 | $19.95 | $36.31 |
DeanCare Setting Facility Modifier None Typical Low $9.55 Median $52.48 Typical High $83.18 | Facility | None | $9.55 | $52.48 | $83.18 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $109.65 Typical High $147.91 | Facility | None | $10.72 | $109.65 | $147.91 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $34.67 | Professional | None | $6.92 | $11.48 | $34.67 |
Network Health Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $30.20 | Facility | None | $13.80 | $16.60 | $30.20 |
Network Health Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $33.11 | Professional | None | $8.71 | $11.75 | $33.11 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $10.23 Typical High $14.79 | Facility | None | $9.33 | $10.23 | $14.79 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $27.54 Typical High $40.74 | Professional | None | $12.88 | $27.54 | $40.74 |
Quartz Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $30.20 | Professional | None | $5.62 | $7.08 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | None | $24.55 | $24.55 | $30.20 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $81.28 | Professional | None | $30.20 | $42.66 | $81.28 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $44.67 | Facility | None | $13.80 | $13.80 | $44.67 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $40.74 | Professional | None | $5.75 | $9.33 | $40.74 |
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 $6.92 Median $6.92 Typical High $91.20 | Professional | 52 · Reduced service | $6.92 | $6.92 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $37.15 | Professional | 53 · Discontinued | $2.75 | $2.75 | $37.15 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $7.94 Median $11.48 Typical High $16.98 | Professional | QW · Waived lab test | $7.94 | $11.48 | $16.98 |
Where Wisconsin sits
The same service costs 13.2 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
$23.99
VT $115MD $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.