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 $91.20 Median $107.15 Typical High $436.52 | Facility | None | $91.20 | $107.15 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None | $91.20 | $91.20 | $138.04 |
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 $117.49 Median $186.21 Typical High $398.11 | Professional | None | $117.49 | $186.21 | $398.11 |
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 $117.49 Median $302.00 Typical High $912.01 | Facility | None | $117.49 | $302.00 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $446.68 | Professional | None | $91.20 | $208.93 | $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 $102.33 Typical High $177.83 | Professional | None | $85.11 | $102.33 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $229.09 | Professional | None | $100.00 | $123.03 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $562.34 | Facility | None | $100.00 | $239.88 | $562.34 |
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 $102.33 Typical High $251.19 | Professional | None | $97.72 | $102.33 | $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 $72.44 Typical High $186.21 | Professional | None | $51.29 | $72.44 | $186.21 |
Univera Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $251.19 | Facility | None | $79.43 | $128.82 | $251.19 |
Univera Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $147.91 | Professional | None | $79.43 | $123.03 | $147.91 |
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 $44.67 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $18.20 | $21.88 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 90 · Outside lab | $125.89 | $125.89 | $125.89 |
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· 27th 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.