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 $21.38 Typical High $63.10 | Facility | None | $12.59 | $21.38 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $29.51 | Professional | None | $12.59 | $13.80 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $66.07 | Facility | None | $25.12 | $25.12 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $57.54 | Professional | None | $12.59 | $18.20 | $57.54 |
CDPHP Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $54.95 Typical High $186.21 | Facility | None | $24.55 | $54.95 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $165.96 | Professional | None | $17.78 | $33.88 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $56.23 | Facility | None | $19.95 | $30.20 | $56.23 |
Emblem Health Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $48.98 | Professional | None | $11.75 | $17.78 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $27.54 | Professional | None | $18.62 | $23.99 | $27.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $27.54 Median $63.10 Typical High $117.49 | Facility | None | $27.54 | $63.10 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $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 $25.12 Typical High $31.62 | Facility | None | $22.91 | $25.12 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $38.02 | Professional | None | $10.72 | $15.14 | $38.02 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $70.79 | Facility | None | $16.60 | $18.62 | $70.79 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $28.18 | Professional | None | $16.60 | $23.99 | $28.18 |
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 $10.72 | Professional | 52 · Reduced service | $6.31 | $6.31 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $4.27 | Professional | 53 · Discontinued | $2.51 | $2.51 | $4.27 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | 90 · Outside lab | $15.14 | $16.98 | $16.98 |
Where New York sits
The same service costs 3.7 times more in Kansas 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· 39th of 51
$21.38
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.