How much rates vary
Facilitymedian $14 · 10th to 90th $10 to $46Professionalmedian $11 · 10th to 90th $7 to $30
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 $10.00 Median $11.48 Typical High $33.88 | Facility | None | $10.00 | $11.48 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | None | $10.00 | $10.00 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $34.67 | Facility | None | $13.49 | $13.49 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.72 Typical High $35.48 | Professional | None | $6.61 | $10.72 | $35.48 |
CDPHP Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $29.51 Typical High $144.54 | Facility | None | $13.18 | $29.51 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $18.20 Typical High $89.13 | Professional | None | $9.55 | $18.20 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $6.46 Median $13.80 Typical High $30.20 | Facility | None | $6.46 | $13.80 | $30.20 |
Emblem Health Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $26.30 | Professional | None | $6.31 | $9.33 | $26.30 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $15.85 | Professional | None | $11.48 | $13.49 | $15.85 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.72 Median $28.84 Typical High $63.10 | Facility | None | $10.72 | $28.84 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $257.04 | Facility | None | $13.80 | $23.99 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $27.54 | Professional | None | $10.72 | $10.72 | $27.54 |
United Setting Facility Modifier None Typical Low $12.02 Median $13.49 Typical High $16.98 | Facility | None | $12.02 | $13.49 | $16.98 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $20.89 | Professional | None | $5.62 | $8.71 | $20.89 |
Univera Setting Facility Modifier None Typical Low $8.91 Median $12.59 Typical High $44.67 | Facility | None | $8.91 | $12.59 | $44.67 |
Univera Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $16.22 | Professional | None | $8.91 | $13.49 | $16.22 |
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 $5.01 Median $5.01 Typical High $5.75 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.29 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.29 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 59 · Distinct service | $6.31 | $6.31 | $6.31 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $8.13 Median $8.91 Typical High $8.91 | Professional | 90 · Outside lab | $8.13 | $8.91 | $8.91 |
Where New York sits
The same service costs 3.7 times more in Alaska 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· 36th of 51
$12.59
AK $37.15MD $10.00
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.