How much rates vary
Facilitymedian $117 · 10th to 90th $42 to $209Professionalmedian $66 · 10th to 90th $25 to $204
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $575.44 | Professional | None | $41.69 | $41.69 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $89.13 Typical High $229.09 | Professional | None | $16.60 | $89.13 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | None | $41.69 | $41.69 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $158.49 | Facility | None | $104.71 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $114.82 Typical High $128.82 | Professional | None | $23.99 | $114.82 | $128.82 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $194.98 Typical High $263.03 | Facility | None | $50.12 | $194.98 | $263.03 |
DeanCare Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $275.42 | Professional | None | $245.47 | $245.47 | $275.42 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $83.18 | Facility | None | $41.69 | $50.12 | $83.18 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $204.17 | Professional | None | $27.54 | $50.12 | $204.17 |
Network Health Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $117.49 | Facility | None | $44.67 | $50.12 | $117.49 |
Network Health Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $117.49 | Professional | None | $41.69 | $66.07 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $83.18 | Facility | None | $41.69 | $50.12 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $95.50 Typical High $125.89 | Professional | None | $45.71 | $95.50 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $20.42 Median $31.62 Typical High $107.15 | Professional | None | $20.42 | $31.62 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Security Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $223.87 | Professional | None | $41.69 | $41.69 | $223.87 |
The Alliance Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $177.83 | Professional | None | $74.13 | $79.43 | $177.83 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $24.55 Median $43.65 Typical High $134.90 | Professional | None | $24.55 | $43.65 | $134.90 |
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 $20.89 Median $20.89 Typical High $288.40 | Professional | 52 · Reduced service | $20.89 | $20.89 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $117.49 | Professional | 53 · Discontinued | $8.32 | $8.32 | $117.49 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | QW · Waived lab test | $41.69 | $41.69 | $60.26 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Ohio. 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
$69.18
AK $89.13OH $27.54
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.