How much rates vary
Facilitymedian $62 · 10th to 90th $51 to $263Professionalmedian $87 · 10th to 90th $28 to $257
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $263.03 | Professional | None (both parts) | $51.29 | $51.29 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $20.42 | $138.04 | $288.40 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $51.29 | $51.29 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $199.53 | Facility | None | $128.82 | $151.36 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $54.95 | $141.25 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $323.59 | Facility | None | $61.66 | $239.88 | $323.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None (both parts) | $309.03 | $309.03 | $338.84 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $109.65 | Facility | None | $51.29 | $61.66 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $72.44 Typical High $257.04 | Professional | None (both parts) | $30.90 | $72.44 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $109.65 | Facility | None | $51.29 | $61.66 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $154.88 | Professional | None | $57.54 | $117.49 | $154.88 |
Quartz Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $134.90 | Professional | None (both parts) | $51.29 | $61.66 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $109.65 | Professional | None | $51.29 | $51.29 | $109.65 |
Security Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Security Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $281.84 | Professional | None (both parts) | $51.29 | $51.29 | $281.84 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $40.74 Typical High $158.49 | Professional | None (both parts) | $22.39 | $40.74 | $158.49 |
6 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 $25.70 Median $25.70 Typical High $131.83 | Professional | 52 · Reduced service | $25.70 | $25.70 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $52.48 | Professional | 53 · Discontinued | $10.23 | $10.23 | $52.48 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | QW · Waived lab test | $51.29 | $51.29 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in Maine. 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
$85.11
AK $102ME $33.11
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.