How much rates vary
Facilitymedian $107 · 10th to 90th $51 to $251Professionalmedian $78 · 10th to 90th $31 to $257
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 $51.29 Median $51.29 Typical High $58.88 | Facility | None | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $281.84 | Professional | None | $51.29 | $51.29 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $87.10 Typical High $288.40 | Professional | None | $20.42 | $87.10 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $199.53 | Facility | None | $128.82 | $151.36 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $141.25 Typical High $158.49 | Professional | None | $30.20 | $141.25 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $323.59 | Facility | None | $61.66 | $239.88 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $128.82 Typical High $229.09 | Facility | None | $61.66 | $128.82 | $229.09 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $257.04 | Professional | None | $40.74 | $81.28 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $54.95 Median $61.66 Typical High $147.91 | Facility | None | $54.95 | $61.66 | $147.91 |
Network Health Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $144.54 | Professional | None | $51.29 | $81.28 | $144.54 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $102.33 | Facility | None | $51.29 | $61.66 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $120.23 Typical High $154.88 | Professional | None | $57.54 | $120.23 | $154.88 |
Quartz Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $154.88 | Professional | None | $25.70 | $39.81 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $109.65 | Professional | None | $51.29 | $51.29 | $109.65 |
Security Health Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $61.66 | Facility | None | $44.67 | $53.70 | $61.66 |
Security Health Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $281.84 | Professional | None | $50.12 | $51.29 | $281.84 |
The Alliance Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $263.03 | Professional | None | $91.20 | $114.82 | $263.03 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $158.49 | Professional | None | $30.90 | $51.29 | $158.49 |
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 $25.70 Median $25.70 Typical High $141.25 | Professional | 52 · Reduced service | $25.70 | $25.70 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $56.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $56.23 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | QW · Waived lab test | $51.29 | $51.29 | $75.86 |
Where Wisconsin sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 4th of 51
$79.43
MN $105NM $47.86
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.