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 $12.30 Median $14.45 Typical High $41.69 | Facility | None | $12.30 | $14.45 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | None | $12.30 | $12.30 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $43.65 | Facility | None | $16.60 | $16.60 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $45.71 | Professional | None | $8.32 | $13.18 | $45.71 |
CDPHP Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $36.31 Typical High $181.97 | Facility | None | $16.22 | $36.31 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $22.91 Typical High $109.65 | Professional | None | $11.48 | $22.91 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $19.50 Typical High $38.02 | Facility | None | $12.02 | $19.50 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $7.76 Median $11.75 Typical High $32.36 | Professional | None | $7.76 | $11.75 | $32.36 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | None | $14.13 | $16.60 | $19.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $15.49 Median $44.67 Typical High $83.18 | Facility | None | $15.49 | $44.67 | $83.18 |
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 $13.49 Median $13.49 Typical High $41.69 | Professional | None | $13.49 | $13.49 | $41.69 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.60 Typical High $20.89 | Facility | None | $15.14 | $16.60 | $20.89 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.47 Typical High $26.92 | Professional | None | $7.08 | $10.47 | $26.92 |
Univera Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $57.54 | Facility | None | $10.96 | $16.60 | $57.54 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $21.38 | Professional | None | $10.96 | $16.60 | $21.38 |
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 $6.17 Median $6.17 Typical High $7.08 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.82 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 90 · Outside lab | $7.59 | $7.59 | $7.59 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $10.00 Median $11.22 Typical High $11.22 | Professional | 90 · Outside lab | $10.00 | $11.22 | $11.22 |
Where New York sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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
$16.60
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.