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 $14.13 Median $19.05 Typical High $79.43 | Facility | None | $14.13 | $19.05 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $20.89 | Professional | None | $13.49 | $13.49 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $57.54 | Facility | None | $22.39 | $22.39 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $16.22 Typical High $51.29 | Professional | None | $8.91 | $16.22 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $47.86 Typical High $194.98 | Facility | None | $21.38 | $47.86 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $25.70 Typical High $120.23 | Professional | None | $13.49 | $25.70 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $50.12 | Facility | None | $13.18 | $22.39 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $42.66 | Professional | None | $10.47 | $13.18 | $42.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $24.55 | Professional | None | $14.45 | $21.38 | $24.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $24.55 Typical High $436.52 | Facility | None | $19.05 | $24.55 | $436.52 |
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 $12.59 Median $12.59 Typical High $45.71 | Professional | None | $12.59 | $12.59 | $45.71 |
United Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $27.54 | Facility | None | $19.95 | $22.39 | $27.54 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $33.11 | Professional | None | $9.33 | $13.18 | $33.11 |
Univera Setting Facility Modifier None Typical Low $14.45 Median $25.70 Typical High $75.86 | Facility | None | $14.45 | $25.70 | $75.86 |
Univera Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $25.12 | Professional | None | $14.45 | $21.38 | $25.12 |
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 $6.76 Median $6.76 Typical High $9.33 | Professional | 52 · Reduced service | $6.76 | $6.76 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.80 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.80 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | 90 · Outside lab | $12.02 | $12.02 | $13.80 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 90 · Outside lab | $10.96 | $10.96 | $10.96 |
Where New York sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 34th of 51
$18.62
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.