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 $32.36 Median $54.95 Typical High $165.96 | Facility | None | $32.36 | $54.95 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $77.62 | Professional | None | $32.36 | $32.36 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $169.82 | Facility | None | $66.07 | $66.07 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $154.88 | Professional | None | $54.95 | $91.20 | $154.88 |
CDPHP Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $138.04 Typical High $186.21 | Facility | None | $63.10 | $138.04 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $79.43 Typical High $316.23 | Professional | None | $38.90 | $79.43 | $316.23 |
Emblem Health Setting Facility Modifier None Typical Low $28.84 Median $66.07 Typical High $147.91 | Facility | None | $28.84 | $66.07 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $95.50 | Professional | None | $45.71 | $54.95 | $95.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $75.86 | Professional | None | $54.95 | $66.07 | $75.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $48.98 Median $131.83 Typical High $223.87 | Facility | None | $48.98 | $131.83 | $223.87 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $117.49 Typical High $257.04 | Facility | None | $13.80 | $117.49 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $134.90 | Professional | None | $42.66 | $70.79 | $134.90 |
United Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $81.28 | Facility | None | $58.88 | $66.07 | $81.28 |
United Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $100.00 | Professional | None | $27.54 | $31.62 | $100.00 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $69.18 Typical High $125.89 | Facility | None | $42.66 | $69.18 | $125.89 |
Univera Setting Professional Modifier None Typical Low $42.66 Median $66.07 Typical High $75.86 | Professional | None | $42.66 | $66.07 | $75.86 |
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 $16.22 Median $16.22 Typical High $38.90 | Professional | 52 · Reduced service | $16.22 | $16.22 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $15.49 | Professional | 53 · Discontinued | $6.46 | $6.46 | $15.49 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 90 · Outside lab | $67.61 | $67.61 | $67.61 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 24th of 51
$66.07
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.