How much rates vary
Facilitymedian $204 · 10th to 90th $158 to $525Professionalmedian $195 · 10th to 90th $91 to $427
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 $109.65 Median $173.78 Typical High $891.25 | Facility | None | $109.65 | $173.78 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $173.78 | Professional | None | $109.65 | $109.65 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $524.81 | Facility | None | $204.17 | $204.17 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $512.86 | Professional | None | $190.55 | $288.40 | $512.86 |
CDPHP Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $575.44 | Facility | None | $199.53 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $660.69 | Professional | None | $123.03 | $251.19 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $457.09 | Facility | None | $158.49 | $245.47 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $269.15 | Professional | None | $141.25 | $169.82 | $269.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Excellus BCBS Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $245.47 | Professional | None | $173.78 | $204.17 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $416.87 | Facility | None | $13.80 | $257.04 | $416.87 |
MVP Health Care Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $416.87 | Professional | None | $131.83 | $151.36 | $416.87 |
United Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $251.19 | Facility | None | $181.97 | $204.17 | $251.19 |
United Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $309.03 | Professional | None | $85.11 | $97.72 | $309.03 |
Univera Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $234.42 | Facility | None | $131.83 | $190.55 | $234.42 |
Univera Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $245.47 | Professional | None | $173.78 | $204.17 | $245.47 |
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 $54.95 Median $54.95 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $21.88 | $34.67 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $204.17 Median $302.00 Typical High $457.09 | Facility | QW · Waived lab test | $204.17 | $302.00 | $457.09 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $141.25 Typical High $323.59 | Professional | QW · Waived lab test | $141.25 | $141.25 | $323.59 |
Where New York sits
The same service costs 3.8 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· 26th of 51
$200
AK $457DE $120
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.