How much rates vary
Facilitymedian $372 · 10th to 90th $141 to $724Professionalmedian $219 · 10th to 90th $71 to $708
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 $141.25 Median $141.25 Typical High $199.53 | Facility | None | $141.25 | $141.25 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $891.25 | Professional | None | $141.25 | $141.25 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $269.15 Typical High $794.33 | Professional | None | $57.54 | $269.15 | $794.33 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | None | $141.25 | $141.25 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $549.54 | Facility | None | $354.81 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $389.05 Typical High $446.68 | Professional | None | $83.18 | $389.05 | $446.68 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $676.08 Typical High $912.01 | Facility | None | $169.82 | $676.08 | $912.01 |
DeanCare Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | None | $851.14 | $851.14 | $954.99 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $549.54 | Facility | None | $151.36 | $269.15 | $549.54 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $181.97 Typical High $707.95 | Professional | None | $85.11 | $181.97 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $407.38 | Facility | None | $154.88 | $169.82 | $407.38 |
Network Health Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $239.88 | Professional | None | $141.25 | $213.80 | $239.88 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $288.40 | Facility | None | $141.25 | $169.82 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $426.58 | Professional | None | $158.49 | $331.13 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $371.54 | Professional | None | $70.79 | $109.65 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $302.00 | Professional | None | $141.25 | $141.25 | $302.00 |
Security Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $416.87 Typical High $776.25 | Professional | None | $141.25 | $416.87 | $776.25 |
The Alliance Setting Professional Modifier None Typical Low $251.19 Median $588.84 Typical High $933.25 | Professional | None | $251.19 | $588.84 | $933.25 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $467.74 | Professional | None | $66.07 | $95.50 | $467.74 |
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 $70.79 Median $70.79 Typical High $446.68 | Professional | 52 · Reduced service | $70.79 | $70.79 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $177.83 | Professional | 53 · Discontinued | $28.84 | $28.84 | $177.83 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | QW · Waived lab test | $141.25 | $141.25 | $208.93 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska 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· 2nd of 51
$240
AK $295AL $69.18
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.