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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $85.11 | Professional | None | $26.30 | $26.30 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $60.26 | Facility | None | $46.77 | $56.23 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $44.67 Typical High $102.33 | Professional | None | $13.18 | $44.67 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $83.18 | Facility | None | $53.70 | $63.10 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $37.15 Typical High $67.61 | Professional | None | $16.60 | $37.15 | $67.61 |
DeanCare Setting Facility Modifier None Typical Low $10.96 Median $58.88 Typical High $93.33 | Facility | None | $10.96 | $58.88 | $93.33 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $20.42 Typical High $102.33 | Facility | None | $10.96 | $20.42 | $102.33 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $60.26 | Professional | None | $10.00 | $17.78 | $60.26 |
Network Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $34.67 | Facility | None | $18.62 | $18.62 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $61.66 | Professional | None | $16.22 | $22.39 | $61.66 |
Prevea360 Setting Facility Modifier None Typical Low $10.96 Median $17.78 Typical High $27.54 | Facility | None | $10.96 | $17.78 | $27.54 |
Quartz Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $70.79 | Professional | None | $23.99 | $50.12 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $7.76 Median $16.60 Typical High $56.23 | Professional | None | $7.76 | $16.60 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $46.77 | Professional | None | $12.30 | $12.30 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $12.30 Median $60.26 Typical High $151.36 | Professional | None | $12.30 | $60.26 | $151.36 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $67.61 | Professional | None | $9.12 | $16.60 | $67.61 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $21.88 Typical High $31.62 | Professional | QW · Waived lab test | $15.14 | $21.88 | $31.62 |
Where Wisconsin sits
The same service costs 4.7 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· 4th of 51
$28.84
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.