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 $83.18 Median $104.71 Typical High $371.54 | Facility | None | $83.18 | $104.71 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None | $83.18 | $83.18 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $316.23 | Facility | None | $123.03 | $123.03 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $363.08 | Professional | None | $120.23 | $190.55 | $363.08 |
CDPHP Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $263.03 Typical High $346.74 | Facility | None | $120.23 | $263.03 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $186.21 Typical High $446.68 | Professional | None | $85.11 | $186.21 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $275.42 | Facility | None | $109.65 | $158.49 | $275.42 |
Emblem Health Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $177.83 | Professional | None | $85.11 | $104.71 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $151.36 | Professional | None | $91.20 | $123.03 | $151.36 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $218.78 Typical High $257.04 | Facility | None | $13.80 | $218.78 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $251.19 | Professional | None | $97.72 | $112.20 | $251.19 |
United Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $151.36 | Facility | None | $109.65 | $123.03 | $151.36 |
United Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $186.21 | Professional | None | $51.29 | $67.61 | $186.21 |
Univera Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $204.17 | Facility | None | $79.43 | $128.82 | $204.17 |
Univera Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $141.25 | Professional | None | $79.43 | $123.03 | $141.25 |
4 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 $40.74 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $16.60 | $20.89 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $151.36 Median $223.87 Typical High $338.84 | Facility | QW · Waived lab test | $151.36 | $223.87 | $338.84 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $104.71 Median $104.71 Typical High $245.47 | Professional | QW · Waived lab test | $104.71 | $104.71 | $245.47 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Alabama. 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· 23rd of 51
$123
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.