How much rates vary
Facilitymedian $372 · 10th to 90th $93 to $955Professionalmedian $347 · 10th to 90th $158 to $794
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 $204.17 Median $316.23 Typical High $1,148.15 | Facility | None | $204.17 | $316.23 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $316.23 | Professional | None | $204.17 | $204.17 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $977.24 | Facility | None | $371.54 | $371.54 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $954.99 | Professional | None | $354.81 | $537.03 | $954.99 |
CDPHP Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,071.52 | Facility | None | $363.08 | $794.33 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $467.74 Typical High $1,230.27 | Professional | None | $229.09 | $467.74 | $1,230.27 |
Emblem Health Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $851.14 | Facility | None | $269.15 | $436.52 | $851.14 |
Emblem Health Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $501.19 | Professional | None | $223.87 | $316.23 | $501.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $120.23 Median $354.81 Typical High $436.52 | Professional | None | $120.23 | $354.81 | $436.52 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $758.58 | Facility | None | $13.80 | $257.04 | $758.58 |
MVP Health Care Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $776.25 | Professional | None | $245.47 | $281.84 | $776.25 |
United Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $467.74 | Facility | None | $338.84 | $371.54 | $467.74 |
United Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $562.34 | Professional | None | $158.49 | $181.97 | $562.34 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $436.52 | Facility | None | $93.33 | $93.33 | $436.52 |
Univera Setting Professional Modifier None Typical Low $112.20 Median $354.81 Typical High $436.52 | Professional | None | $112.20 | $354.81 | $436.52 |
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 $102.33 Median $102.33 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $40.74 | $63.10 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $371.54 Median $562.34 Typical High $851.14 | Facility | QW · Waived lab test | $371.54 | $562.34 | $851.14 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $263.03 Median $263.03 Typical High $602.56 | Professional | QW · Waived lab test | $263.03 | $263.03 | $602.56 |
Where New York sits
The same service costs 6.5 times more in Texas 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· 28th of 51
$355
TX $1,122AL $174
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.