How much rates vary
Facilitymedian $537 · 10th to 90th $282 to $1,445Professionalmedian $501 · 10th to 90th $251 to $1,122
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 $436.52 Median $562.34 Typical High $1,412.54 | Facility | None | $436.52 | $562.34 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $812.83 | Professional | None | $467.74 | $501.19 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,445.44 | Facility | None | $562.34 | $562.34 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $724.44 Typical High $1,288.25 | Professional | None | $371.54 | $724.44 | $1,288.25 |
CDPHP Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,202.26 Typical High $1,584.89 | Facility | None | $537.03 | $1,202.26 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $2,691.53 | Professional | None | $338.84 | $676.08 | $2,691.53 |
Emblem Health Setting Facility Modifier None Typical Low $177.83 Median $562.34 Typical High $1,258.93 | Facility | None | $177.83 | $562.34 | $1,258.93 |
Emblem Health Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $741.31 | Professional | None | $331.13 | $467.74 | $741.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $645.65 | Professional | None | $363.08 | $524.81 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $169.82 Median $446.68 Typical High $1,412.54 | Facility | None | $169.82 | $446.68 | $1,412.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $436.52 Typical High $1,122.02 | Facility | None | $13.80 | $436.52 | $1,122.02 |
MVP Health Care Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,148.15 | Professional | None | $331.13 | $331.13 | $1,148.15 |
United Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $691.83 | Facility | None | $501.19 | $562.34 | $691.83 |
United Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $851.14 | Professional | None | $234.42 | $275.42 | $851.14 |
Univera Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $588.84 | Facility | None | $331.13 | $331.13 | $588.84 |
Univera Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $630.96 | Professional | None | $338.84 | $524.81 | $630.96 |
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 $234.42 Median $251.19 Typical High $407.38 | Professional | 52 · Reduced service | $234.42 | $251.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $100.00 Typical High $162.18 | Professional | 53 · Discontinued | $95.50 | $100.00 | $162.18 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 90 · Outside lab | $575.44 | $575.44 | $575.44 |
Where New York sits
The same service costs 4.6 times more in Kansas 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· 34th of 51
$501
KS $1,514OK $331
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.