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 $6.46 Median $11.48 Typical High $33.88 | Facility | None | $6.46 | $11.48 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $12.30 | Professional | None | $6.46 | $7.08 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $34.67 | Facility | None | $13.49 | $13.49 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $30.20 | Professional | None | $6.61 | $9.77 | $30.20 |
CDPHP Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $29.51 Typical High $95.50 | Facility | None | $13.18 | $29.51 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $18.20 Typical High $89.13 | Professional | None | $9.55 | $18.20 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $30.20 | Facility | None | $10.72 | $16.22 | $30.20 |
Emblem Health Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $25.70 | Professional | None | $6.31 | $9.33 | $25.70 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $15.14 | Professional | None | $9.55 | $13.49 | $15.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.72 Median $18.62 Typical High $60.26 | Facility | None | $10.72 | $18.62 | $60.26 |
MVP Health Care Setting Facility Modifier None Typical Low $13.49 Median $20.42 Typical High $257.04 | Facility | None | $13.49 | $20.42 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $27.54 | Professional | None | $10.72 | $10.72 | $27.54 |
United Setting Facility Modifier None Typical Low $12.02 Median $13.49 Typical High $44.67 | Facility | None | $12.02 | $13.49 | $44.67 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $19.95 | Professional | None | $5.62 | $7.94 | $19.95 |
Univera Setting Facility Modifier None Typical Low $8.71 Median $9.55 Typical High $36.31 | Facility | None | $8.71 | $9.55 | $36.31 |
Univera Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $15.85 | Professional | None | $8.71 | $13.49 | $15.85 |
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 $3.24 Median $3.24 Typical High $5.75 | Professional | 52 · Reduced service | $3.24 | $3.24 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.29 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $8.91 Median $8.91 Typical High $9.55 | Professional | 90 · Outside lab | $8.91 | $8.91 | $9.55 |
Where New York sits
The same service costs 3.1 times more in Kansas 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· 37th of 51
$11.48
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.