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 $14.79 Median $22.91 Typical High $83.18 | Facility | None | $14.79 | $22.91 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $22.91 | Professional | None | $14.79 | $14.79 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $70.79 | Facility | None | $26.92 | $26.92 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $61.66 | Professional | None | $10.96 | $21.88 | $61.66 |
CDPHP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $57.54 Typical High $77.62 | Facility | None | $26.30 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $131.83 | Professional | None | $16.22 | $31.62 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $61.66 | Facility | None | $21.88 | $32.36 | $61.66 |
Emblem Health Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $52.48 | Professional | None | $10.96 | $16.22 | $52.48 |
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 $21.38 Typical High $29.51 | Professional | None | $10.72 | $21.38 | $29.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $22.39 Median $57.54 Typical High $144.54 | Facility | None | $22.39 | $57.54 | $144.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $48.98 Typical High $257.04 | Facility | None | $13.80 | $48.98 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $56.23 | Professional | None | $17.78 | $17.78 | $56.23 |
United Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $33.88 | Facility | None | $24.55 | $26.92 | $33.88 |
United Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $39.81 | Professional | None | $11.48 | $14.79 | $39.81 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $33.88 | Facility | None | $10.72 | $10.72 | $33.88 |
Univera Setting Professional Modifier None Typical Low $10.72 Median $21.88 Typical High $30.20 | Professional | None | $10.72 | $21.88 | $30.20 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter 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 4.6 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· 40th of 51
$20.89
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.