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 $100.00 Median $158.49 Typical High $562.34 | Facility | None | $100.00 | $158.49 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | None | $100.00 | $100.00 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $478.63 | Facility | None | $186.21 | $186.21 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $467.74 | Professional | None | $177.83 | $269.15 | $467.74 |
CDPHP Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $512.86 | Facility | None | $181.97 | $467.74 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $630.96 | Professional | None | $117.49 | $234.42 | $630.96 |
Emblem Health Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $416.87 | Facility | None | $154.88 | $234.42 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $245.47 | Professional | None | $112.20 | $158.49 | $245.47 |
Excellus BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $213.80 | Professional | None | $125.89 | $158.49 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $851.14 | Facility | None | $162.18 | $229.09 | $851.14 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $371.54 | Facility | None | $13.80 | $257.04 | $371.54 |
MVP Health Care Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $380.19 | Professional | None | $120.23 | $138.04 | $380.19 |
United Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $229.09 | Facility | None | $165.96 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $281.84 | Professional | None | $77.62 | $91.20 | $281.84 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $229.09 | Facility | None | $112.20 | $112.20 | $229.09 |
Univera Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $204.17 | Professional | None | $120.23 | $158.49 | $204.17 |
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 $50.12 Median $50.12 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | 53 · Discontinued | $20.42 | $20.42 | $31.62 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 90 · Outside lab | $190.55 | $190.55 | $190.55 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 37th of 51
$158
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.