How much rates vary
Facilitymedian $89 · 10th to 90th $16 to $195Professionalmedian $28 · 10th to 90th $10 to $117
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 $19.50 Median $19.95 Typical High $25.70 | Facility | None | $19.50 | $19.95 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $173.78 | Professional | None | $19.95 | $19.95 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $45.71 | Facility | None | $36.31 | $43.65 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $33.88 Typical High $123.03 | Professional | None | $12.59 | $33.88 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $48.98 Typical High $64.57 | Facility | None | $42.66 | $48.98 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $45.71 Typical High $85.11 | Professional | None | $12.88 | $45.71 | $85.11 |
DeanCare Setting Facility Modifier None Typical Low $14.79 Median $83.18 Typical High $128.82 | Facility | None | $14.79 | $83.18 | $128.82 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $138.04 Typical High $213.80 | Facility | None | $19.95 | $138.04 | $213.80 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $64.57 | Professional | None | $10.00 | $16.98 | $64.57 |
Network Health Setting Facility Modifier None Typical Low $19.95 Median $25.70 Typical High $47.86 | Facility | None | $19.95 | $25.70 | $47.86 |
Network Health Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $47.86 | Professional | None | $12.59 | $18.62 | $47.86 |
Prevea360 Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $21.38 | Facility | None | $13.49 | $15.14 | $21.38 |
Quartz Setting Professional Modifier None Typical Low $18.62 Median $39.81 Typical High $70.79 | Professional | None | $18.62 | $39.81 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $138.04 | Professional | None | $11.22 | $12.88 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | None | $28.18 | $28.18 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $28.18 Median $91.20 Typical High $120.23 | Professional | None | $28.18 | $91.20 | $120.23 |
United Setting Facility Modifier None Typical Low $5.89 Median $19.95 Typical High $60.26 | Facility | None | $5.89 | $19.95 | $60.26 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $64.57 | Professional | None | $8.32 | $14.13 | $64.57 |
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 $10.00 Median $10.00 Typical High $87.10 | Professional | 52 · Reduced service | $10.00 | $10.00 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $34.67 | Professional | 53 · Discontinued | $4.07 | $4.07 | $34.67 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $16.98 Typical High $24.55 | Professional | QW · Waived lab test | $11.48 | $16.98 | $24.55 |
Where Wisconsin sits
The same service costs 7.8 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
$37.15
VT $105MD $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.