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 $23.99 Median $27.54 Typical High $81.28 | Facility | None | $23.99 | $27.54 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $83.18 | Facility | None | $32.36 | $32.36 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $89.13 | Professional | None | $15.85 | $25.70 | $89.13 |
CDPHP Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $70.79 Typical High $346.74 | Facility | None | $31.62 | $70.79 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $43.65 Typical High $213.80 | Professional | None | $22.39 | $43.65 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $72.44 | Facility | None | $19.95 | $33.11 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $63.10 | Professional | None | $15.14 | $19.50 | $63.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $41.69 | Professional | None | $21.38 | $32.36 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $26.30 Median $47.86 Typical High $128.82 | Facility | None | $26.30 | $47.86 | $128.82 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $57.54 Typical High $257.04 | Facility | None | $13.80 | $57.54 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $79.43 | Professional | None | $25.70 | $25.70 | $79.43 |
United Setting Facility Modifier None Typical Low $28.84 Median $32.36 Typical High $97.72 | Facility | None | $28.84 | $32.36 | $97.72 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $48.98 | Professional | None | $13.49 | $20.89 | $48.98 |
Univera Setting Facility Modifier None Typical Low $21.38 Median $37.15 Typical High $123.03 | Facility | None | $21.38 | $37.15 | $123.03 |
Univera Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $41.69 | Professional | None | $21.38 | $32.36 | $41.69 |
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 $12.02 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $12.02 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.50 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 90 · Outside lab | $14.45 | $14.45 | $14.45 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 90 · Outside lab | $21.38 | $21.38 | $21.38 |
Where New York sits
The same service costs 4.1 times more in Kansas than in Alabama. 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
$29.51
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.