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 $162.18 Median $208.93 Typical High $741.31 | Facility | None | $162.18 | $208.93 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | None | $162.18 | $162.18 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $630.96 | Facility | None | $239.88 | $239.88 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $724.44 | Professional | None | $234.42 | $371.54 | $724.44 |
CDPHP Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $691.83 | Facility | None | $234.42 | $524.81 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $371.54 Typical High $870.96 | Professional | None | $165.96 | $371.54 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $660.69 | Facility | None | $239.88 | $398.11 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $354.81 | Professional | None | $144.54 | $204.17 | $354.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $275.42 | Professional | None | $190.55 | $239.88 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $478.63 | Facility | None | $13.80 | $257.04 | $478.63 |
MVP Health Care Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $501.19 | Professional | None | $194.98 | $223.87 | $501.19 |
United Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $302.00 | Facility | None | $218.78 | $239.88 | $302.00 |
United Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $371.54 | Professional | None | $102.33 | $134.90 | $371.54 |
Univera Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $407.38 | Facility | None | $154.88 | $257.04 | $407.38 |
Univera Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $275.42 | Professional | None | $154.88 | $239.88 | $275.42 |
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 $81.28 Median $81.28 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $32.36 | $40.74 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $177.83 Median $208.93 Typical High $478.63 | Professional | QW · Waived lab test | $177.83 | $208.93 | $478.63 |
Where New York sits
The same service costs 5.1 times more in Texas than in Oklahoma. 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
$240
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.