How much rates vary
Facilitymedian $19 · 10th to 90th $11 to $83Professionalmedian $20 · 10th to 90th $7 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 $13.80 Median $14.45 Typical High $16.60 | Facility | None | $13.80 | $14.45 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $229.09 | Professional | None | $10.96 | $14.45 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $33.11 | Facility | None | $25.70 | $30.90 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $24.55 Typical High $87.10 | Professional | None | $8.91 | $24.55 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $45.71 | Facility | None | $29.51 | $34.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $20.42 Typical High $37.15 | Professional | None | $9.12 | $20.42 | $37.15 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $58.88 Typical High $93.33 | Facility | None | $10.72 | $58.88 | $93.33 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $134.90 | Facility | None | $9.77 | $14.45 | $134.90 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $38.90 | Professional | None | $7.24 | $12.02 | $38.90 |
Network Health Setting Facility Modifier None Typical Low $14.45 Median $18.62 Typical High $34.67 | Facility | None | $14.45 | $18.62 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $33.88 | Professional | None | $8.91 | $12.30 | $33.88 |
Prevea360 Setting Facility Modifier None Typical Low $9.55 Median $10.72 Typical High $15.49 | Facility | None | $9.55 | $10.72 | $15.49 |
Quartz Setting Professional Modifier None Typical Low $13.49 Median $28.18 Typical High $50.12 | Professional | None | $13.49 | $28.18 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $30.90 | Professional | None | $7.76 | $9.12 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $125.89 | Professional | None | $25.70 | $25.70 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $125.89 | Professional | None | $51.29 | $83.18 | $125.89 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $45.71 | Professional | None | $6.03 | $12.02 | $45.71 |
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 $7.24 Median $7.24 Typical High $114.82 | Professional | 52 · Reduced service | $7.24 | $7.24 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $45.71 | Professional | 53 · Discontinued | $2.88 | $2.88 | $45.71 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $12.02 Typical High $17.38 | Professional | QW · Waived lab test | $8.32 | $12.02 | $17.38 |
Where Wisconsin sits
The same service costs 5.5 times more in Vermont than in New Jersey. 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· 7th of 51
$19.05
VT $48.98NJ $8.91
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.