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 $6.03 Median $6.92 Typical High $20.42 | Facility | None | $6.03 | $6.92 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | None | $6.03 | $6.03 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $21.38 | Facility | None | $8.13 | $8.13 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $22.39 | Professional | None | $4.07 | $6.46 | $22.39 |
CDPHP Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.78 Typical High $89.13 | Facility | None | $7.94 | $17.78 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $10.96 Typical High $48.98 | Professional | None | $5.37 | $10.96 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $10.47 Typical High $18.20 | Facility | None | $7.08 | $10.47 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $3.80 Median $4.90 Typical High $15.85 | Professional | None | $3.80 | $4.90 | $15.85 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $10.47 | Professional | None | $5.37 | $8.13 | $10.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.91 Median $28.18 Typical High $38.90 | Facility | None | $8.91 | $28.18 | $38.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
MVP Health Care Setting Facility Modifier None Typical Low $10.23 Median $15.49 Typical High $257.04 | Facility | None | $10.23 | $15.49 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $16.98 | Professional | None | $4.47 | $4.47 | $16.98 |
United Setting Facility Modifier None Typical Low $7.41 Median $8.13 Typical High $31.62 | Facility | None | $7.41 | $8.13 | $31.62 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $13.80 | Professional | None | $3.72 | $5.37 | $13.80 |
Univera Setting Facility Modifier None Typical Low $5.37 Median $9.33 Typical High $30.90 | Facility | None | $5.37 | $9.33 | $30.90 |
Univera Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $10.47 | Professional | None | $5.37 | $8.13 | $10.47 |
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 $3.02 Median $3.02 Typical High $3.47 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.20 Typical High $1.38 | Professional | 53 · Discontinued | $1.20 | $1.20 | $1.38 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $8.13 Median $12.30 Typical High $18.20 | Facility | QW · Waived lab test | $8.13 | $12.30 | $18.20 |
United Setting Professional Modifier QW · Waived lab test Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | QW · Waived lab test | $5.01 | $5.01 | $5.01 |
Where New York sits
The same service costs 7.1 times more in Minnesota than in Maryland. 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· 42nd of 51
$7.76
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.