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 $10.23 Median $15.85 Typical High $57.54 | Facility | None | $10.23 | $15.85 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | None | $10.23 | $10.23 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $48.98 | Facility | None | $18.62 | $18.62 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $42.66 | Professional | None | $7.41 | $14.79 | $42.66 |
CDPHP Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $47.86 | Facility | None | $16.98 | $39.81 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $89.13 | Professional | None | $10.47 | $22.91 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $41.69 | Facility | None | $15.85 | $23.44 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $36.31 | Professional | None | $8.71 | $10.96 | $36.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $20.42 | Professional | None | $10.72 | $15.14 | $20.42 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $257.04 | Facility | None | $13.80 | $33.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $38.02 | Professional | None | $12.02 | $12.02 | $38.02 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Facility | None | $16.60 | $18.62 | $23.44 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $28.18 | Professional | None | $7.76 | $10.47 | $28.18 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $23.44 | Facility | None | $10.72 | $10.72 | $23.44 |
Univera Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $20.89 | Professional | None | $10.72 | $15.14 | $20.89 |
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 $5.13 Median $5.13 Typical High $7.94 | Professional | 52 · Reduced service | $5.13 | $5.13 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $3.16 | Professional | 53 · Discontinued | $2.04 | $2.04 | $3.16 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 90 · Outside lab | $12.30 | $12.30 | $12.30 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 37th of 51
$14.45
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.