How much rates vary
Facilitymedian $39 · 10th to 90th $13 to $148Professionalmedian $24 · 10th to 90th $9 to $87
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 $16.60 Median $16.98 Typical High $21.88 | Facility | None | $16.60 | $16.98 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $162.18 | Professional | None | $16.98 | $16.98 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $38.90 | Facility | None | $30.90 | $37.15 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $28.84 Typical High $104.71 | Professional | None | $10.47 | $28.84 | $104.71 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $41.69 Typical High $54.95 | Facility | None | $36.31 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $24.55 Typical High $44.67 | Professional | None | $9.55 | $24.55 | $44.67 |
DeanCare Setting Facility Modifier None Typical Low $12.59 Median $70.79 Typical High $109.65 | Facility | None | $12.59 | $70.79 | $109.65 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $87.10 Typical High $173.78 | Facility | None | $12.59 | $87.10 | $173.78 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $46.77 | Professional | None | $8.32 | $14.13 | $46.77 |
Network Health Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $40.74 | Facility | None | $16.98 | $21.88 | $40.74 |
Network Health Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $40.74 | Professional | None | $10.72 | $14.45 | $40.74 |
Prevea360 Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $18.20 | Facility | None | $11.48 | $12.88 | $18.20 |
Quartz Setting Professional Modifier None Typical Low $15.85 Median $33.88 Typical High $60.26 | Professional | None | $15.85 | $33.88 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $37.15 | Professional | None | $6.76 | $9.55 | $37.15 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $43.65 | Professional | None | $30.20 | $30.20 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $100.00 | Professional | None | $43.65 | $56.23 | $100.00 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $53.70 | Professional | None | $7.08 | $12.02 | $53.70 |
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 $8.51 Median $8.51 Typical High $81.28 | Professional | 52 · Reduced service | $8.51 | $8.51 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $32.36 | Professional | 53 · Discontinued | $3.39 | $3.39 | $32.36 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.77 Median $14.13 Typical High $20.89 | Professional | QW · Waived lab test | $9.77 | $14.13 | $20.89 |
Where Wisconsin sits
The same service costs 9.5 times more in Vermont than in Indiana. 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
$28.18
VT $107IN $11.22
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.