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 $19.05 Median $23.99 Typical High $64.57 | Facility | None | $19.05 | $23.99 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | None | $19.05 | $19.05 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $66.07 | Facility | None | $25.70 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $69.18 | Professional | None | $12.59 | $20.42 | $69.18 |
CDPHP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $275.42 | Facility | None | $25.12 | $54.95 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $34.67 Typical High $169.82 | Professional | None | $17.78 | $34.67 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $57.54 | Facility | None | $14.45 | $29.51 | $57.54 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $48.98 | Professional | None | $12.02 | $17.78 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $33.11 | Professional | None | $21.88 | $25.70 | $33.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $53.70 | Facility | None | $19.95 | $19.95 | $53.70 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $45.71 Typical High $257.04 | Facility | None | $13.80 | $45.71 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $52.48 | Professional | None | $20.42 | $20.42 | $52.48 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $31.62 | Facility | None | $22.91 | $25.70 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $38.02 | Professional | None | $10.72 | $16.60 | $38.02 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $25.70 Typical High $64.57 | Facility | None | $16.60 | $25.70 | $64.57 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $33.11 | Professional | None | $16.60 | $25.70 | $33.11 |
3 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 $9.55 Median $9.55 Typical High $10.72 | Professional | 52 · Reduced service | $9.55 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.37 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.37 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 90 · Outside lab | $10.23 | $10.23 | $10.23 |
Where New York sits
The same service costs 3.5 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· 27th of 51
$24.55
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.