How much rates vary
Facilitymedian $9 · 10th to 90th $7 to $32Professionalmedian $7 · 10th to 90th $4 to $19
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 $7.24 Typical High $21.38 | Facility | None | $4.79 | $7.24 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $12.59 | Professional | None | $4.79 | $7.24 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $21.88 | Facility | None | $8.51 | $8.51 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $19.50 | Professional | None | $4.17 | $6.92 | $19.50 |
CDPHP Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $18.62 Typical High $69.18 | Facility | None | $8.32 | $18.62 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $11.75 Typical High $48.98 | Professional | None | $6.76 | $11.75 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $10.96 Typical High $19.05 | Facility | None | $8.51 | $10.96 | $19.05 |
Emblem Health Setting Professional Modifier None Typical Low $3.98 Median $5.89 Typical High $16.60 | Professional | None | $3.98 | $5.89 | $16.60 |
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 $5.62 Median $8.32 Typical High $9.55 | Professional | None | $5.62 | $8.32 | $9.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.76 Median $16.60 Typical High $43.65 | Facility | None | $6.76 | $16.60 | $43.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.03 | Professional | None | $5.62 | $5.62 | $6.03 |
MVP Health Care Setting Facility Modifier None Typical Low $9.33 Median $15.85 Typical High $257.04 | Facility | None | $9.33 | $15.85 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $17.38 | Professional | None | $6.76 | $6.76 | $17.38 |
United Setting Facility Modifier None Typical Low $2.88 Median $8.51 Typical High $10.47 | Facility | None | $2.88 | $8.51 | $10.47 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.13 Typical High $12.59 | Professional | None | $3.55 | $5.13 | $12.59 |
Univera Setting Facility Modifier None Typical Low $5.50 Median $7.24 Typical High $20.42 | Facility | None | $5.50 | $7.24 | $20.42 |
Univera Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $9.55 | Professional | None | $5.50 | $8.32 | $9.55 |
5 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 $2.34 Median $2.34 Typical High $3.63 | Professional | 52 · Reduced service | $2.34 | $2.34 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.45 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.45 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $8.51 Median $12.59 Typical High $19.05 | Facility | QW · Waived lab test | $8.51 | $12.59 | $19.05 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 59 · Distinct service | $6.31 | $6.31 | $6.31 |
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 14.8 times more in Minnesota than in Maryland. 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· 42nd of 51
$7.59
MN $93.33MD $6.31
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.