How much rates vary
Facilitymedian $324 · 10th to 90th $170 to $676Professionalmedian $204 · 10th to 90th $105 to $537
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 $138.04 Median $223.87 Typical High $660.69 | Facility | None | $138.04 | $223.87 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | None | $144.54 | $144.54 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $269.15 Typical High $616.60 | Professional | None | $104.71 | $269.15 | $616.60 |
CDPHP Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $562.34 Typical High $676.08 | Facility | None | $257.04 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $891.25 | Professional | None | $165.96 | $338.84 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $588.84 | Facility | None | $223.87 | $331.13 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $380.19 | Professional | None | $186.21 | $223.87 | $380.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $302.00 | Professional | None | $177.83 | $263.03 | $302.00 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $257.04 Typical High $524.81 | Facility | None | $13.80 | $257.04 | $524.81 |
MVP Health Care Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $537.03 | Professional | None | $169.82 | $194.98 | $537.03 |
United Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $331.13 | Facility | None | $234.42 | $263.03 | $331.13 |
United Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $398.11 | Professional | None | $109.65 | $128.82 | $398.11 |
Univera Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $380.19 | Facility | None | $169.82 | $281.84 | $380.19 |
Univera Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $302.00 | Professional | None | $169.82 | $263.03 | $302.00 |
5 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 $72.44 Median $72.44 Typical High $112.20 | Professional | 52 · Reduced service | $72.44 | $72.44 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | 53 · Discontinued | $28.84 | $28.84 | $44.67 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $263.03 Median $398.11 Typical High $588.84 | Facility | QW · Waived lab test | $263.03 | $398.11 | $588.84 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $186.21 Median $186.21 Typical High $426.58 | Professional | QW · Waived lab test | $186.21 | $186.21 | $426.58 |
Highmark BCBS Setting Facility Modifier 90 · Outside lab Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 90 · Outside lab | $190.55 | $190.55 | $190.55 |
Where New York sits
The same service costs 3.7 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· 35th of 51
$224
AK $589DE $158
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.