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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $91.20 | Professional | None | $9.55 | $9.77 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $22.39 | Facility | None | $17.78 | $21.38 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $16.60 Typical High $60.26 | Professional | None | $6.03 | $16.60 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $23.99 Typical High $31.62 | Facility | None | $20.89 | $23.99 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $14.13 Typical High $25.70 | Professional | None | $6.17 | $14.13 | $25.70 |
DeanCare Setting Facility Modifier None Typical Low $7.24 Median $40.74 Typical High $63.10 | Facility | None | $7.24 | $40.74 | $63.10 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $9.77 Typical High $100.00 | Facility | None | $6.76 | $9.77 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $8.13 Typical High $26.92 | Professional | None | $4.90 | $8.13 | $26.92 |
Network Health Setting Facility Modifier None Typical Low $9.77 Median $12.59 Typical High $23.44 | Facility | None | $9.77 | $12.59 | $23.44 |
Network Health Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $23.44 | Professional | None | $6.17 | $8.32 | $23.44 |
Prevea360 Setting Facility Modifier None Typical Low $6.61 Median $7.41 Typical High $10.47 | Facility | None | $6.61 | $7.41 | $10.47 |
Quartz Setting Professional Modifier None Typical Low $9.33 Median $19.50 Typical High $34.67 | Professional | None | $9.33 | $19.50 | $34.67 |
Quartz Setting Professional Modifier None Typical Low $5.37 Median $6.17 Typical High $21.38 | Professional | None | $5.37 | $6.17 | $21.38 |
Security Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | None | $13.80 | $13.80 | $17.38 |
Security Health Setting Professional Modifier None Typical Low $13.80 Median $37.15 Typical High $57.54 | Professional | None | $13.80 | $37.15 | $57.54 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $30.90 | Professional | None | $4.07 | $6.92 | $30.90 |
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 $4.90 Median $4.90 Typical High $50.12 | Professional | 52 · Reduced service | $4.90 | $4.90 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $20.42 | Professional | 53 · Discontinued | $1.95 | $1.95 | $20.42 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $8.13 Typical High $12.02 | Professional | QW · Waived lab test | $5.62 | $8.13 | $12.02 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska 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· 5th of 51
$13.49
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.