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 $13.49 Median $19.95 Typical High $64.57 | Facility | None | $13.49 | $19.95 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $46.77 | Facility | None | $18.20 | $18.20 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $44.67 | Professional | None | $8.91 | $16.98 | $44.67 |
CDPHP Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $52.48 | Facility | None | $17.78 | $38.90 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $25.70 Typical High $87.10 | Professional | None | $12.59 | $25.70 | $87.10 |
Emblem Health Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $40.74 | Facility | None | $15.85 | $23.44 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $34.67 | Professional | None | $8.51 | $10.72 | $34.67 |
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 $16.98 Typical High $20.42 | Professional | None | $10.72 | $16.98 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Facility | None | $52.48 | $52.48 | $61.66 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $257.04 | Facility | None | $13.80 | $23.44 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $37.15 | Professional | None | $14.45 | $14.45 | $37.15 |
United Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $22.39 | Facility | None | $16.22 | $18.20 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $26.92 | Professional | None | $7.59 | $10.72 | $26.92 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $20.89 | Facility | None | $10.72 | $10.72 | $20.89 |
Univera Setting Professional Modifier None Typical Low $10.72 Median $16.98 Typical High $20.89 | Professional | None | $10.72 | $16.98 | $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 $6.76 Median $6.76 Typical High $7.59 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.09 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.09 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | 90 · Outside lab | $12.88 | $12.88 | $13.49 |
Where New York sits
The same service costs 4.2 times more in Alaska than in Georgia. 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· 33rd of 51
$15.49
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.