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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $173.78 | Professional | None | $14.45 | $14.79 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $33.88 | Facility | None | $26.30 | $31.62 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $28.18 Typical High $89.13 | Professional | None | $9.12 | $28.18 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | None | $12.30 | $12.30 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $46.77 | Facility | None | $30.90 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $33.88 Typical High $38.02 | Professional | None | $6.31 | $33.88 | $38.02 |
DeanCare Setting Facility Modifier None Typical Low $14.79 Median $77.62 Typical High $104.71 | Facility | None | $14.79 | $77.62 | $104.71 |
DeanCare Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | None | $72.44 | $72.44 | $81.28 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $70.79 | Facility | None | $12.30 | $14.79 | $70.79 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $16.98 Typical High $100.00 | Professional | None | $7.41 | $16.98 | $100.00 |
Network Health Setting Facility Modifier None Typical Low $14.79 Median $19.05 Typical High $34.67 | Facility | None | $14.79 | $19.05 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $34.67 | Professional | None | $15.49 | $21.38 | $34.67 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $14.79 Typical High $26.92 | Facility | None | $9.33 | $14.79 | $26.92 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $30.90 Typical High $42.66 | Professional | None | $13.80 | $30.90 | $42.66 |
Quartz Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $31.62 | Professional | None | $5.89 | $7.94 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $26.30 | Professional | None | $12.59 | $12.59 | $26.30 |
Security Health Setting Professional Modifier None Typical Low $12.59 Median $48.98 Typical High $85.11 | Professional | None | $12.59 | $48.98 | $85.11 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.50 Median $10.00 Typical High $46.77 | Professional | None | $5.50 | $10.00 | $46.77 |
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 $12.30 Median $12.30 Typical High $17.78 | Professional | QW · Waived lab test | $12.30 | $12.30 | $17.78 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in Florida. 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
$26.30
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.