How much rates vary
Facilitymedian $11 · 10th to 90th $8 to $60Professionalmedian $14 · 10th to 90th $5 to $59
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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $199.53 | Professional | None | $10.47 | $10.72 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $24.55 | Facility | None | $19.05 | $22.91 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $18.20 Typical High $64.57 | Professional | None | $6.61 | $18.20 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $25.12 Typical High $33.11 | Facility | None | $21.88 | $25.12 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $27.54 | Professional | None | $5.89 | $14.79 | $27.54 |
DeanCare Setting Facility Modifier None Typical Low $7.94 Median $43.65 Typical High $69.18 | Facility | None | $7.94 | $43.65 | $69.18 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $8.91 Typical High $60.26 | Facility | None | $7.08 | $8.91 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $28.84 | Professional | None | $5.37 | $8.91 | $28.84 |
Network Health Setting Facility Modifier None Typical Low $10.72 Median $13.80 Typical High $25.12 | Facility | None | $10.72 | $13.80 | $25.12 |
Network Health Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $25.12 | Professional | None | $6.61 | $9.12 | $25.12 |
Prevea360 Setting Facility Modifier None Typical Low $7.08 Median $7.94 Typical High $11.48 | Facility | None | $7.08 | $7.94 | $11.48 |
Quartz Setting Professional Modifier None Typical Low $10.00 Median $21.38 Typical High $37.15 | Professional | None | $10.00 | $21.38 | $37.15 |
Quartz Setting Professional Modifier None Typical Low $4.17 Median $5.89 Typical High $22.91 | Professional | None | $4.17 | $5.89 | $22.91 |
Security Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $43.65 | Professional | None | $19.05 | $19.05 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $61.66 | Professional | None | $26.92 | $48.98 | $61.66 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $4.47 Median $7.59 Typical High $33.88 | Professional | None | $4.47 | $7.59 | $33.88 |
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 $5.37 Median $5.37 Typical High $100.00 | Professional | 52 · Reduced service | $5.37 | $5.37 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $39.81 | Professional | 53 · Discontinued | $2.14 | $2.14 | $39.81 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $8.91 Typical High $12.88 | Professional | QW · Waived lab test | $6.17 | $8.91 | $12.88 |
Where Wisconsin sits
The same service costs 4.3 times more in Kansas 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
$13.80
KS $28.18MD $6.61
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.