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 $40.74 Median $61.66 Typical High $223.87 | Facility | None | $40.74 | $61.66 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | None | $40.74 | $40.74 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $190.55 | Facility | None | $74.13 | $74.13 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $186.21 | Professional | None | $69.18 | $104.71 | $186.21 |
CDPHP Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $208.93 | Facility | None | $70.79 | $154.88 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $93.33 Typical High $251.19 | Professional | None | $44.67 | $93.33 | $251.19 |
Emblem Health Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $199.53 | Facility | None | $74.13 | $120.23 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $107.15 | Professional | None | $51.29 | $61.66 | $107.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $85.11 | Professional | None | $50.12 | $74.13 | $85.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $131.83 Typical High $257.04 | Facility | None | $13.80 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $151.36 | Professional | None | $48.98 | $56.23 | $151.36 |
United Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $91.20 | Facility | None | $66.07 | $74.13 | $91.20 |
United Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $112.20 | Professional | None | $30.90 | $35.48 | $112.20 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $102.33 | Facility | None | $47.86 | $77.62 | $102.33 |
Univera Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $85.11 | Professional | None | $47.86 | $74.13 | $85.11 |
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 $20.42 Median $20.42 Typical High $30.90 | Professional | 52 · Reduced service | $20.42 | $20.42 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $12.59 | Professional | 53 · Discontinued | $8.13 | $8.13 | $12.59 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $52.48 Median $52.48 Typical High $123.03 | Professional | QW · Waived lab test | $52.48 | $52.48 | $123.03 |
Where New York sits
The same service costs 3.8 times more in Alaska 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· 30th of 51
$69.18
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.