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 $4.79 Median $11.75 Typical High $41.69 | Facility | None | $4.79 | $11.75 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $10.00 Typical High $13.80 | Professional | None | $4.79 | $10.00 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $35.48 | Facility | None | $13.80 | $13.80 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $12.30 Typical High $27.54 | Professional | None | $5.50 | $12.30 | $27.54 |
CDPHP Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $28.84 Typical High $69.18 | Facility | None | $13.49 | $28.84 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $15.85 Typical High $66.07 | Professional | None | $6.76 | $15.85 | $66.07 |
Emblem Health Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $33.11 | Facility | None | $13.80 | $17.78 | $33.11 |
Emblem Health Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $26.92 | Professional | None | $6.46 | $8.32 | $26.92 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.24 Median $13.18 Typical High $15.49 | Professional | None | $7.24 | $13.18 | $15.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.90 Median $39.81 Typical High $47.86 | Facility | None | $38.90 | $39.81 | $47.86 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $257.04 | Facility | None | $13.80 | $24.55 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $28.18 | Professional | None | $7.59 | $7.59 | $28.18 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $16.98 | Facility | None | $12.30 | $13.80 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $21.88 | Professional | None | $5.75 | $8.32 | $21.88 |
Univera Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $15.85 | Facility | None | $7.24 | $7.24 | $15.85 |
Univera Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $21.88 | Professional | None | $7.24 | $11.75 | $21.88 |
2 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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $13.80 Median $20.42 Typical High $30.90 | Facility | QW · Waived lab test | $13.80 | $20.42 | $30.90 |
United Setting Professional Modifier QW · Waived lab test Typical Low $3.89 Median $4.90 Typical High $4.90 | Professional | QW · Waived lab test | $3.89 | $4.90 | $4.90 |
Where New York sits
The same service costs 3.7 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.
New York· 38th of 51
$10.96
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.