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 $12.59 Median $19.50 Typical High $93.33 | Facility | None | $12.59 | $19.50 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $19.50 | Professional | None | $12.59 | $12.59 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $60.26 | Facility | None | $22.91 | $22.91 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $52.48 | Professional | None | $9.12 | $15.85 | $52.48 |
CDPHP Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $48.98 Typical High $181.97 | Facility | None | $22.39 | $48.98 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $26.30 Typical High $190.55 | Professional | None | $13.49 | $26.30 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $51.29 | Facility | None | $20.42 | $30.20 | $51.29 |
Emblem Health Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $44.67 | Professional | None | $10.72 | $14.13 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $25.12 | Professional | None | $14.13 | $19.95 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.95 Median $21.38 Typical High $43.65 | Facility | None | $19.95 | $21.38 | $43.65 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $257.04 | Facility | None | $13.80 | $30.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $128.82 | Professional | None | $14.79 | $14.79 | $128.82 |
United Setting Facility Modifier None Typical Low $20.89 Median $22.91 Typical High $28.84 | Facility | None | $20.89 | $22.91 | $28.84 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $33.88 | Professional | None | $9.55 | $13.80 | $33.88 |
Univera Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $64.57 | Facility | None | $14.13 | $14.13 | $64.57 |
Univera Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $25.70 | Professional | None | $14.13 | $19.95 | $25.70 |
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 $6.31 Median $6.31 Typical High $9.77 | Professional | 52 · Reduced service | $6.31 | $6.31 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.89 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.89 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 90 · Outside lab | $15.14 | $15.14 | $15.14 |
Where New York sits
The same service costs 4.9 times more in Kansas than in Kentucky. 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· 43rd of 51
$17.78
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.