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 $3.39 Median $3.89 Typical High $11.48 | Facility | None | $3.39 | $3.89 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $5.89 | Professional | None | $3.39 | $3.63 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $12.02 | Facility | None | $4.57 | $4.57 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.29 Median $3.63 Typical High $12.30 | Professional | None | $2.29 | $3.63 | $12.30 |
CDPHP Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $10.23 Typical High $50.12 | Facility | None | $4.47 | $10.23 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.17 Typical High $32.36 | Professional | None | $3.31 | $6.17 | $32.36 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $6.03 Typical High $10.23 | Facility | None | $3.98 | $6.03 | $10.23 |
Emblem Health Setting Professional Modifier None Typical Low $2.14 Median $3.24 Typical High $8.91 | Professional | None | $2.14 | $3.24 | $8.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.89 Median $4.57 Typical High $5.50 | Professional | None | $3.89 | $4.57 | $5.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.09 Median $19.50 Typical High $22.39 | Facility | None | $3.09 | $19.50 | $22.39 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.47 | Professional | None | $3.09 | $3.09 | $3.47 |
MVP Health Care Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $257.04 | Facility | None | $5.75 | $10.00 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $9.55 | Professional | None | $3.72 | $3.72 | $9.55 |
United Setting Facility Modifier None Typical Low $4.17 Median $4.57 Typical High $5.75 | Facility | None | $4.17 | $4.57 | $5.75 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.75 Typical High $6.92 | Professional | None | $1.95 | $2.75 | $6.92 |
Univera Setting Facility Modifier None Typical Low $3.02 Median $4.57 Typical High $15.49 | Facility | None | $3.02 | $4.57 | $15.49 |
Univera Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $5.89 | Professional | None | $3.02 | $4.57 | $5.89 |
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 $1.70 Median $1.70 Typical High $1.95 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.78 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.78 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $4.57 Median $6.92 Typical High $10.23 | Facility | QW · Waived lab test | $4.57 | $6.92 | $10.23 |
United Setting Professional Modifier QW · Waived lab test Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | QW · Waived lab test | $2.82 | $2.82 | $2.82 |
Where New York sits
The same service costs 4.4 times more in Minnesota 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· 29th of 51
$4.57
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.