How much rates vary
Facilitymedian $21 · 10th to 90th $9 to $68Professionalmedian $17 · 10th to 90th $6 to $66
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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $151.36 | Professional | None | $11.22 | $12.59 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $27.54 Typical High $28.84 | Facility | None | $22.39 | $27.54 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $21.38 Typical High $69.18 | Professional | None | $7.08 | $21.38 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $39.81 | Facility | None | $26.30 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $17.78 Typical High $33.11 | Professional | None | $6.31 | $17.78 | $33.11 |
DeanCare Setting Facility Modifier None Typical Low $8.51 Median $47.86 Typical High $74.13 | Facility | None | $8.51 | $47.86 | $74.13 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $51.29 Typical High $81.28 | Facility | None | $8.51 | $51.29 | $81.28 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $30.90 | Professional | None | $6.03 | $10.47 | $30.90 |
Network Health Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $27.54 | Facility | None | $12.59 | $14.79 | $27.54 |
Network Health Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $29.51 | Professional | None | $7.94 | $10.72 | $29.51 |
Prevea360 Setting Facility Modifier None Typical Low $8.32 Median $9.12 Typical High $13.49 | Facility | None | $8.32 | $9.12 | $13.49 |
Quartz Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $39.81 | Professional | None | $11.48 | $24.55 | $39.81 |
Quartz Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $27.54 | Professional | None | $4.90 | $6.31 | $27.54 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $41.69 | Professional | None | $22.39 | $22.39 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $74.13 | Professional | None | $36.31 | $41.69 | $74.13 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $36.31 | Professional | None | $5.25 | $8.32 | $36.31 |
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 $6.31 Median $6.31 Typical High $75.86 | Professional | 52 · Reduced service | $6.31 | $6.31 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $30.20 | Professional | 53 · Discontinued | $2.51 | $2.51 | $30.20 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $7.24 Median $10.47 Typical High $15.49 | Professional | QW · Waived lab test | $7.24 | $10.47 | $15.49 |
Where Wisconsin sits
The same service costs 5.6 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· 6th of 51
$17.78
MN $41.69NJ $7.41
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.