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 $4.79 Median $6.17 Typical High $16.22 | Facility | None | $4.79 | $6.17 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.89 | Professional | None | $4.79 | $4.79 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $16.98 | Facility | None | $6.46 | $6.46 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $16.98 | Professional | None | $3.16 | $5.13 | $16.98 |
CDPHP Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $14.13 Typical High $70.79 | Facility | None | $6.31 | $14.13 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $8.71 Typical High $43.65 | Professional | None | $4.47 | $8.71 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $5.50 Median $8.32 Typical High $14.45 | Facility | None | $5.50 | $8.32 | $14.45 |
Emblem Health Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $12.59 | Professional | None | $3.02 | $4.57 | $12.59 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $8.51 | Professional | None | $5.50 | $6.46 | $8.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.62 Median $17.78 Typical High $30.20 | Facility | None | $5.62 | $17.78 | $30.20 |
MVP Health Care Setting Facility Modifier None Typical Low $7.08 Median $12.88 Typical High $257.04 | Facility | None | $7.08 | $12.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $13.18 | Professional | None | $5.01 | $5.01 | $13.18 |
United Setting Facility Modifier None Typical Low $5.75 Median $6.46 Typical High $8.13 | Facility | None | $5.75 | $6.46 | $8.13 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.89 Typical High $9.77 | Professional | None | $2.69 | $3.89 | $9.77 |
Univera Setting Facility Modifier None Typical Low $4.27 Median $5.50 Typical High $16.60 | Facility | None | $4.27 | $5.50 | $16.60 |
Univera Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $15.85 | Professional | None | $4.27 | $6.46 | $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 $2.40 Median $2.40 Typical High $2.75 | Professional | 52 · Reduced service | $2.40 | $2.40 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.10 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.10 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 90 · Outside lab | $4.27 | $4.27 | $4.27 |
Where New York sits
The same service costs 3.0 times more in Alaska 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· 38th of 51
$5.62
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.