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 $83.18 Median $123.03 Typical High $389.05 | Facility | None | $83.18 | $123.03 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $331.13 | Facility | None | $128.82 | $128.82 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $354.81 | Professional | None | $123.03 | $186.21 | $354.81 |
CDPHP Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $295.12 Typical High $363.08 | Facility | None | $123.03 | $295.12 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $158.49 Typical High $616.60 | Professional | None | $77.62 | $158.49 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $288.40 | Facility | None | $63.10 | $128.82 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | None | $75.86 | $107.15 | $186.21 |
Excellus BCBS Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $162.18 | Professional | None | $107.15 | $128.82 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $562.34 | Facility | None | $257.04 | $331.13 | $562.34 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $229.09 Typical High $257.04 | Facility | None | $13.80 | $229.09 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $263.03 | Professional | None | $89.13 | $151.36 | $263.03 |
United Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $158.49 | Facility | None | $114.82 | $128.82 | $158.49 |
United Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $194.98 | Professional | None | $53.70 | $67.61 | $194.98 |
Univera Setting Facility Modifier None Typical Low $83.18 Median $85.11 Typical High $257.04 | Facility | None | $83.18 | $85.11 | $257.04 |
Univera Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $147.91 | Professional | None | $83.18 | $128.82 | $147.91 |
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 $41.69 Median $41.69 Typical High $77.62 | Professional | 52 · Reduced service | $41.69 | $41.69 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $30.90 | Professional | 53 · Discontinued | $16.60 | $16.60 | $30.90 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 90 · Outside lab | $131.83 | $131.83 | $131.83 |
Where New York sits
The same service costs 4.6 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· 28th of 51
$129
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.