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 $38.90 Median $61.66 Typical High $218.78 | Facility | None | $38.90 | $61.66 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $61.66 | Professional | None | $38.90 | $38.90 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $186.21 | Facility | None | $72.44 | $72.44 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $67.61 Typical High $162.18 | Professional | None | $28.84 | $67.61 | $162.18 |
CDPHP Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $186.21 | Facility | None | $70.79 | $154.88 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $346.74 | Professional | None | $39.81 | $87.10 | $346.74 |
Emblem Health Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $162.18 | Facility | None | $56.23 | $87.10 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $141.25 | Professional | None | $33.88 | $43.65 | $141.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $81.28 | Professional | None | $45.71 | $69.18 | $81.28 |
Highmark BCBS Setting Facility Modifier None Typical Low $61.66 Median $181.97 Typical High $501.19 | Facility | None | $61.66 | $181.97 | $501.19 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $128.82 Typical High $257.04 | Facility | None | $13.80 | $128.82 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $147.91 | Professional | None | $46.77 | $46.77 | $147.91 |
United Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $91.20 | Facility | None | $64.57 | $72.44 | $91.20 |
United Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $107.15 | Professional | None | $30.20 | $42.66 | $107.15 |
Univera Setting Facility Modifier None Typical Low $46.77 Median $58.88 Typical High $83.18 | Facility | None | $46.77 | $58.88 | $83.18 |
Univera Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $83.18 | Professional | None | $46.77 | $69.18 | $83.18 |
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 $19.50 Median $19.50 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $19.50 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.30 | Professional | 53 · Discontinued | $7.94 | $7.94 | $12.30 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 90 · Outside lab | $28.84 | $28.84 | $28.84 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | 90 · Outside lab | $47.86 | $47.86 | $51.29 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 33rd of 51
$61.66
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.