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 $323.59 Median $512.86 Typical High $2,398.83 | Facility | None | $323.59 | $512.86 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $512.86 | Professional | None | $323.59 | $323.59 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,548.82 | Facility | None | $602.56 | $602.56 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $1,513.56 | Professional | None | $562.34 | $870.96 | $1,513.56 |
CDPHP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,288.25 Typical High $1,737.80 | Facility | None | $588.84 | $1,288.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $1,995.26 | Professional | None | $363.08 | $741.31 | $1,995.26 |
Emblem Health Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $1,348.96 | Facility | None | $436.52 | $691.83 | $1,348.96 |
Emblem Health Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $870.96 | Professional | None | $416.87 | $512.86 | $870.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $691.83 | Professional | None | $407.38 | $602.56 | $691.83 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $1,202.26 | Facility | None | $13.80 | $257.04 | $1,202.26 |
MVP Health Care Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $1,230.27 | Professional | None | $389.05 | $446.68 | $1,230.27 |
United Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $758.58 | Facility | None | $537.03 | $602.56 | $758.58 |
United Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $912.01 | Professional | None | $251.19 | $288.40 | $912.01 |
Univera Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $812.83 | Facility | None | $389.05 | $630.96 | $812.83 |
Univera Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $691.83 | Professional | None | $389.05 | $602.56 | $691.83 |
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 $162.18 Median $162.18 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $162.18 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $102.33 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $602.56 Median $891.25 Typical High $1,348.96 | Facility | QW · Waived lab test | $602.56 | $891.25 | $1,348.96 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $416.87 Median $416.87 Typical High $977.24 | Professional | QW · Waived lab test | $416.87 | $416.87 | $977.24 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$575
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.