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 $123.03 Median $144.54 Typical High $416.87 | Facility | None | $123.03 | $144.54 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None | $123.03 | $123.03 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $426.58 | Facility | None | $162.18 | $162.18 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $524.81 | Professional | None | $144.54 | $245.47 | $524.81 |
CDPHP Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $467.74 | Facility | None | $158.49 | $354.81 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $794.33 | Professional | None | $109.65 | $218.78 | $794.33 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $162.18 Typical High $371.54 | Facility | None | $19.95 | $162.18 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $218.78 | Professional | None | $114.82 | $138.04 | $218.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $213.80 | Professional | None | $128.82 | $162.18 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $114.82 Median $323.59 Typical High $562.34 | Facility | None | $114.82 | $323.59 | $562.34 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $354.81 | Facility | None | $13.80 | $257.04 | $354.81 |
MVP Health Care Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $338.84 | Professional | None | $47.86 | $47.86 | $338.84 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $204.17 | Facility | None | $147.91 | $162.18 | $204.17 |
United Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $251.19 | Professional | None | $69.18 | $95.50 | $251.19 |
Univera Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $194.98 | Facility | None | $104.71 | $162.18 | $194.98 |
Univera Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $213.80 | Professional | None | $104.71 | $162.18 | $213.80 |
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 $60.26 Median $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $24.55 | $29.51 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 90 · Outside lab | $169.82 | $169.82 | $169.82 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 27th of 51
$162
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.