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 $67.61 Median $79.43 Typical High $229.09 | Facility | None | $67.61 | $79.43 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $102.33 | Professional | None | $67.61 | $67.61 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $239.88 | Facility | None | $91.20 | $91.20 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $288.40 | Professional | None | $83.18 | $134.90 | $288.40 |
CDPHP Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $263.03 | Facility | None | $89.13 | $199.53 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $123.03 Typical High $446.68 | Professional | None | $61.66 | $123.03 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $30.20 Median $91.20 Typical High $204.17 | Facility | None | $30.20 | $91.20 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $131.83 | Professional | None | $64.57 | $77.62 | $131.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $104.71 | Professional | None | $72.44 | $91.20 | $104.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $457.09 | Facility | None | $79.43 | $177.83 | $457.09 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $165.96 Typical High $257.04 | Facility | None | $13.80 | $165.96 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $190.55 | Professional | None | $70.79 | $70.79 | $190.55 |
United Setting Facility Modifier None Typical Low $83.18 Median $91.20 Typical High $114.82 | Facility | None | $83.18 | $91.20 | $114.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $141.25 | Professional | None | $38.90 | $52.48 | $141.25 |
Univera Setting Facility Modifier None Typical Low $39.81 Median $97.72 Typical High $416.87 | Facility | None | $39.81 | $97.72 | $416.87 |
Univera Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $104.71 | Professional | None | $58.88 | $87.10 | $104.71 |
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 $33.88 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.85 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 90 · Outside lab | $93.33 | $93.33 | $93.33 |
Where New York sits
The same service costs 3.2 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· 32nd of 51
$87.10
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.