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 $588.84 Median $645.65 Typical High $1,862.09 | Facility | None | $588.84 | $645.65 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $645.65 | Professional | None | $501.19 | $501.19 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,995.26 | Facility | None | $758.58 | $758.58 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,737.80 | Professional | None | $501.19 | $741.31 | $1,737.80 |
CDPHP Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,621.81 Typical High $2,187.76 | Facility | None | $741.31 | $1,621.81 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $3,630.78 | Professional | None | $457.09 | $912.01 | $3,630.78 |
Emblem Health Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $2,089.30 | Facility | None | $758.58 | $1,258.93 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $1,230.27 | Professional | None | $446.68 | $630.96 | $1,230.27 |
Excellus BCBS Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $870.96 | Professional | None | $537.03 | $724.44 | $870.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $870.96 Typical High $3,388.44 | Facility | None | $30.90 | $870.96 | $3,388.44 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $758.58 Typical High $1,513.56 | Facility | None | $13.80 | $758.58 | $1,513.56 |
MVP Health Care Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,548.82 | Professional | None | $489.78 | $645.65 | $1,548.82 |
United Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $954.99 | Facility | None | $676.08 | $758.58 | $954.99 |
United Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $1,148.15 | Professional | None | $316.23 | $371.54 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,148.15 | Facility | None | $489.78 | $812.83 | $1,148.15 |
Univera Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $870.96 | Professional | None | $537.03 | $724.44 | $870.96 |
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 $251.19 Median $251.19 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | 53 · Discontinued | $100.00 | $100.00 | $128.82 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 90 · Outside lab | $501.19 | $501.19 | $501.19 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 27th of 51
$646
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.