How much rates vary
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $199.53 | Professional | None | $27.54 | $38.90 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $89.13 | Facility | None | $70.79 | $85.11 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $66.07 Typical High $173.78 | Professional | None | $13.18 | $66.07 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $125.89 | Facility | None | $81.28 | $95.50 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $56.23 Typical High $102.33 | Professional | None | $15.49 | $56.23 | $102.33 |
DeanCare Setting Facility Modifier None Typical Low $15.85 Median $120.23 Typical High $186.21 | Facility | None | $15.85 | $120.23 | $186.21 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $33.11 Typical High $154.88 | Facility | None | $15.85 | $33.11 | $154.88 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $33.11 Typical High $91.20 | Professional | None | $19.05 | $33.11 | $91.20 |
Network Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Facility | None | $37.15 | $37.15 | $50.12 |
Network Health Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $93.33 | Professional | None | $24.55 | $33.11 | $93.33 |
Prevea360 Setting Facility Modifier None Typical Low $15.85 Median $26.92 Typical High $41.69 | Facility | None | $15.85 | $26.92 | $41.69 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $107.15 | Professional | None | $36.31 | $74.13 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $85.11 | Professional | None | $15.14 | $15.49 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $69.18 | Professional | None | $24.55 | $24.55 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $95.50 Typical High $229.09 | Professional | None | $24.55 | $95.50 | $229.09 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $100.00 | Professional | None | $16.22 | $28.18 | $100.00 |
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 $19.50 Median $19.50 Typical High $100.00 | Professional | 52 · Reduced service | $19.50 | $19.50 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $39.81 | Professional | 53 · Discontinued | $7.94 | $7.94 | $39.81 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $22.39 Median $33.11 Typical High $47.86 | Professional | QW · Waived lab test | $22.39 | $33.11 | $47.86 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 3rd of 51
$45.71
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.