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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $186.21 | Professional | None | $19.95 | $26.92 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $61.66 | Facility | None | $47.86 | $58.88 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $45.71 Typical High $120.23 | Professional | None | $8.91 | $45.71 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $85.11 | Facility | None | $56.23 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $38.02 Typical High $70.79 | Professional | None | $16.98 | $38.02 | $70.79 |
DeanCare Setting Facility Modifier None Typical Low $11.22 Median $81.28 Typical High $128.82 | Facility | None | $11.22 | $81.28 | $128.82 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $107.15 | Facility | None | $11.22 | $20.89 | $107.15 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $60.26 | Professional | None | $13.49 | $22.91 | $60.26 |
Network Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $46.77 | Facility | None | $25.70 | $25.70 | $46.77 |
Network Health Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $63.10 | Professional | None | $16.98 | $22.91 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $28.84 | Facility | None | $11.22 | $18.62 | $28.84 |
Quartz Setting Professional Modifier None Typical Low $24.55 Median $51.29 Typical High $74.13 | Professional | None | $24.55 | $51.29 | $74.13 |
Quartz Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $58.88 | Professional | None | $10.96 | $16.98 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $47.86 | Professional | None | $16.98 | $16.98 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $16.98 Median $66.07 Typical High $158.49 | Professional | None | $16.98 | $66.07 | $158.49 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $69.18 | Professional | None | $13.49 | $22.39 | $69.18 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $15.49 Median $22.39 Typical High $33.11 | Professional | QW · Waived lab test | $15.49 | $22.39 | $33.11 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 4th of 51
$30.90
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.