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 $28.84 Median $33.11 Typical High $97.72 | Facility | None | $28.84 | $33.11 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | None | $28.84 | $28.84 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $100.00 | Facility | None | $38.90 | $38.90 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $104.71 | Professional | None | $19.05 | $30.90 | $104.71 |
CDPHP Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $83.18 Typical High $416.87 | Facility | None | $38.02 | $83.18 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $257.04 | Professional | None | $26.92 | $52.48 | $257.04 |
Emblem Health Setting Facility Modifier None Typical Low $24.55 Median $39.81 Typical High $87.10 | Facility | None | $24.55 | $39.81 | $87.10 |
Emblem Health Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $74.13 | Professional | None | $18.20 | $26.92 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $46.77 | Professional | None | $33.11 | $38.90 | $46.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $79.43 Typical High $181.97 | Facility | None | $30.90 | $79.43 | $181.97 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $69.18 Typical High $257.04 | Facility | None | $13.80 | $69.18 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $79.43 | Professional | None | $30.90 | $30.90 | $79.43 |
United Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $104.71 | Facility | None | $34.67 | $38.90 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $25.12 Typical High $57.54 | Professional | None | $16.22 | $25.12 | $57.54 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $97.72 | Facility | None | $25.12 | $38.90 | $97.72 |
Univera Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $50.12 | Professional | None | $25.12 | $38.90 | $50.12 |
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 $14.45 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.61 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | 90 · Outside lab | $15.49 | $15.49 | $19.50 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $23.44 Median $25.70 Typical High $28.84 | Professional | 90 · Outside lab | $23.44 | $25.70 | $28.84 |
Where New York sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 32nd of 51
$38.02
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.