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 $70.79 Median $144.54 Typical High $524.81 | Facility | None | $70.79 | $144.54 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | None | $70.79 | $70.79 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $446.68 | Facility | None | $169.82 | $169.82 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $398.11 | Professional | None | $158.49 | $239.88 | $398.11 |
CDPHP Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $363.08 Typical High $489.78 | Facility | None | $165.96 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $812.83 | Professional | None | $102.33 | $204.17 | $812.83 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $169.82 Typical High $380.19 | Facility | None | $21.88 | $169.82 | $380.19 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $245.47 | Professional | None | $120.23 | $144.54 | $245.47 |
Excellus BCBS Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $194.98 | Professional | None | $109.65 | $169.82 | $194.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $24.55 Median $154.88 Typical High $588.84 | Facility | None | $24.55 | $154.88 | $588.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $338.84 | Facility | None | $13.80 | $257.04 | $338.84 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $346.74 | Professional | None | $50.12 | $50.12 | $346.74 |
United Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $213.80 | Facility | None | $151.36 | $169.82 | $213.80 |
United Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $257.04 | Professional | None | $70.79 | $81.28 | $257.04 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $109.65 Typical High $181.97 | Facility | None | $29.51 | $109.65 | $181.97 |
Univera Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $194.98 | Professional | None | $102.33 | $162.18 | $194.98 |
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 $35.48 Median $35.48 Typical High $81.28 | Professional | 52 · Reduced service | $35.48 | $35.48 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $32.36 | Professional | 53 · Discontinued | $14.13 | $14.13 | $32.36 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 90 · Outside lab | $173.78 | $173.78 | $173.78 |
Where New York sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 29th of 51
$162
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.