How much rates vary
Facilitymedian $24 · 10th to 90th $18 to $68Professionalmedian $20 · 10th to 90th $12 to $55
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 $17.78 Median $21.38 Typical High $60.26 | Facility | None | $17.78 | $21.38 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | None | $17.78 | $17.78 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $63.10 | Facility | None | $23.99 | $23.99 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $63.10 | Professional | None | $12.02 | $18.62 | $63.10 |
CDPHP Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $52.48 Typical High $263.03 | Facility | None | $23.44 | $52.48 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $33.11 Typical High $158.49 | Professional | None | $16.98 | $33.11 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $54.95 | Facility | None | $16.22 | $26.30 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $46.77 | Professional | None | $11.48 | $16.98 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $26.30 | Professional | None | $17.78 | $22.91 | $26.30 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.89 Typical High $48.98 | Facility | None | $20.42 | $20.89 | $48.98 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $38.02 Typical High $257.04 | Facility | None | $13.80 | $38.02 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $50.12 | Professional | None | $19.50 | $19.50 | $50.12 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $104.71 | Facility | None | $21.88 | $23.99 | $104.71 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $36.31 | Professional | None | $10.23 | $14.79 | $36.31 |
Univera Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $56.23 | Facility | None | $15.85 | $17.78 | $56.23 |
Univera Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $26.92 | Professional | None | $15.85 | $22.91 | $26.92 |
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 $8.91 Median $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.07 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.07 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 90 · Outside lab | $7.08 | $7.08 | $7.08 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 90 · Outside lab | $16.22 | $16.22 | $16.22 |
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· 37th of 51
$20.42
AK $54.95MD $18.20
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.