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 $3.80 Median $4.79 Typical High $12.88 | Facility | None | $3.80 | $4.79 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $6.31 | Professional | None | $3.80 | $3.80 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $13.18 | Facility | None | $5.13 | $5.13 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.89 Typical High $13.18 | Professional | None | $2.51 | $3.89 | $13.18 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $11.22 Typical High $54.95 | Facility | None | $5.01 | $11.22 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $6.92 Typical High $33.11 | Professional | None | $3.55 | $6.92 | $33.11 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $6.17 Typical High $11.48 | Facility | None | $3.98 | $6.17 | $11.48 |
Emblem Health Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $10.00 | Professional | None | $2.40 | $3.55 | $10.00 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.89 Median $5.13 Typical High $5.75 | Professional | None | $3.89 | $5.13 | $5.75 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.37 Median $5.62 Typical High $23.99 | Facility | None | $4.37 | $5.62 | $23.99 |
MVP Health Care Setting Facility Modifier None Typical Low $5.50 Median $10.96 Typical High $257.04 | Facility | None | $5.50 | $10.96 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $10.47 | Professional | None | $2.69 | $2.69 | $10.47 |
United Setting Facility Modifier None Typical Low $4.57 Median $5.13 Typical High $6.31 | Facility | None | $4.57 | $5.13 | $6.31 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $7.59 | Professional | None | $2.14 | $3.09 | $7.59 |
Univera Setting Facility Modifier None Typical Low $3.39 Median $5.13 Typical High $11.22 | Facility | None | $3.39 | $5.13 | $11.22 |
Univera Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $6.61 | Professional | None | $3.39 | $5.13 | $6.61 |
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 $1.91 Median $1.91 Typical High $2.19 | Professional | 52 · Reduced service | $1.91 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.87 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.87 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 90 · Outside lab | $2.04 | $2.04 | $2.04 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 90 · Outside lab | $3.39 | $3.39 | $3.39 |
Where New York sits
The same service costs 7.2 times more in Alaska than in Kentucky. 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· 29th of 51
$4.79
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.