How much rates vary
Facilitymedian $22 · 10th to 90th $13 to $105Professionalmedian $24 · 10th to 90th $7 to $89
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 $17.38 Median $17.38 Typical High $22.39 | Facility | None | $17.38 | $17.38 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $489.78 | Professional | None | $16.98 | $17.38 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $39.81 | Facility | None | $30.90 | $37.15 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $29.51 Typical High $104.71 | Professional | None | $7.08 | $29.51 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
CareSource Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
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 $12.88 Median $70.79 Typical High $112.20 | Facility | None | $12.88 | $70.79 | $112.20 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $17.38 Typical High $151.36 | Facility | None | $12.88 | $17.38 | $151.36 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $46.77 | Professional | None | $8.71 | $14.45 | $46.77 |
Network Health Setting Facility Modifier None Typical Low $17.38 Median $22.39 Typical High $40.74 | Facility | None | $17.38 | $22.39 | $40.74 |
Network Health Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $40.74 | Professional | None | $10.72 | $14.79 | $40.74 |
Prevea360 Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $18.62 | Facility | None | $11.48 | $12.88 | $18.62 |
Quartz Setting Professional Modifier None Typical Low $15.85 Median $33.88 Typical High $50.12 | Professional | None | $15.85 | $33.88 | $50.12 |
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 $30.90 Median $30.90 Typical High $75.86 | Professional | None | $30.90 | $30.90 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $100.00 | Professional | None | $57.54 | $75.86 | $100.00 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.59 Typical High $54.95 | Professional | None | $7.24 | $12.59 | $54.95 |
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 $8.71 Median $8.71 Typical High $245.47 | Professional | 52 · Reduced service | $8.71 | $8.71 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $97.72 | Professional | 53 · Discontinued | $3.47 | $3.47 | $97.72 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $10.00 Median $14.45 Typical High $20.89 | Professional | QW · Waived lab test | $10.00 | $14.45 | $20.89 |
Where Wisconsin sits
The same service costs 18.6 times more in Vermont than in Alabama. 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
$23.99
VT $195AL $10.47
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.