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 $9.77 Median $11.48 Typical High $40.74 | Facility | None | $9.77 | $11.48 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $12.02 | Professional | None | $9.77 | $9.77 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $34.67 | Facility | None | $13.18 | $13.18 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $35.48 | Professional | None | $6.61 | $10.47 | $35.48 |
CDPHP Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.84 Typical High $144.54 | Facility | None | $12.88 | $28.84 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $64.57 | Professional | None | $9.33 | $19.05 | $64.57 |
Emblem Health Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $29.51 | Facility | None | $7.94 | $13.18 | $29.51 |
Emblem Health Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $25.70 | Professional | None | $6.17 | $9.33 | $25.70 |
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 $13.18 Typical High $14.79 | Professional | None | $10.72 | $13.18 | $14.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $66.07 | Facility | None | $12.30 | $14.45 | $66.07 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $257.04 | Facility | None | $13.80 | $22.91 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $27.54 | Professional | None | $10.72 | $10.72 | $27.54 |
United Setting Facility Modifier None Typical Low $12.02 Median $13.18 Typical High $16.60 | Facility | None | $12.02 | $13.18 | $16.60 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $22.39 | Professional | None | $5.62 | $8.13 | $22.39 |
Univera Setting Facility Modifier None Typical Low $8.71 Median $10.72 Typical High $38.02 | Facility | None | $8.71 | $10.72 | $38.02 |
Univera Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $15.85 | Professional | None | $8.71 | $13.18 | $15.85 |
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 $4.90 Median $4.90 Typical High $5.62 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.24 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.24 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 90 · Outside lab | $8.91 | $8.91 | $8.91 |
Where New York sits
The same service costs 4.2 times more in Kansas 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· 38th of 51
$11.75
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.