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 $177.83 Median $275.42 Typical High $1,148.15 | Facility | None | $177.83 | $275.42 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $275.42 | Professional | None | $177.83 | $177.83 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $851.14 | Facility | None | $323.59 | $323.59 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $812.83 | Professional | None | $309.03 | $467.74 | $812.83 |
CDPHP Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $691.83 Typical High $933.25 | Facility | None | $316.23 | $691.83 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $1,071.52 | Professional | None | $194.98 | $398.11 | $1,071.52 |
Emblem Health Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $724.44 | Facility | None | $251.19 | $389.05 | $724.44 |
Emblem Health Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $467.74 | Professional | None | $229.09 | $275.42 | $467.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $371.54 | Professional | None | $257.04 | $309.03 | $371.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $645.65 | Facility | None | $13.80 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $676.08 | Professional | None | $208.93 | $245.47 | $676.08 |
United Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $407.38 | Facility | None | $295.12 | $323.59 | $407.38 |
United Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $489.78 | Professional | None | $134.90 | $154.88 | $489.78 |
Univera Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $371.54 | Facility | None | $208.93 | $323.59 | $371.54 |
Univera Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $371.54 | Professional | None | $257.04 | $309.03 | $371.54 |
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 $89.13 Median $89.13 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $89.13 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $35.48 | $54.95 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $323.59 Median $489.78 Typical High $724.44 | Facility | QW · Waived lab test | $323.59 | $489.78 | $724.44 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $229.09 Median $229.09 Typical High $524.81 | Professional | QW · Waived lab test | $229.09 | $229.09 | $524.81 |
Where New York sits
The same service costs 4.2 times more in Alaska than in Alabama. 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
$309
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.