How much rates vary
Facilitymedian $10 · 10th to 90th $6 to $24Professionalmedian $6 · 10th to 90th $3 to $16
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 $3.09 Median $6.76 Typical High $20.42 | Facility | None | $3.09 | $6.76 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $4.27 Typical High $7.24 | Professional | None | $3.09 | $4.27 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $20.89 | Facility | None | $7.94 | $7.94 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $16.22 | Professional | None | $3.39 | $4.90 | $16.22 |
CDPHP Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $17.78 Typical High $45.71 | Facility | None | $7.76 | $17.78 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.75 Typical High $141.25 | Professional | None | $5.75 | $11.75 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $7.94 Median $15.14 Typical High $24.55 | Facility | None | $7.94 | $15.14 | $24.55 |
Emblem Health Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $15.49 | Professional | None | $3.80 | $5.62 | $15.49 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.47 Median $7.59 Typical High $8.91 | Professional | None | $4.47 | $7.59 | $8.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.92 Median $19.95 Typical High $37.15 | Facility | None | $6.92 | $19.95 | $37.15 |
MVP Health Care Setting Facility Modifier None Typical Low $7.76 Median $14.45 Typical High $257.04 | Facility | None | $7.76 | $14.45 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $74.13 | Professional | None | $6.46 | $6.46 | $74.13 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.94 Typical High $10.00 | Facility | None | $7.24 | $7.94 | $10.00 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $12.30 | Professional | None | $3.39 | $4.79 | $12.30 |
Univera Setting Facility Modifier None Typical Low $5.25 Median $6.03 Typical High $10.72 | Facility | None | $5.25 | $6.03 | $10.72 |
Univera Setting Professional Modifier None Typical Low $4.47 Median $7.59 Typical High $15.85 | Professional | None | $4.47 | $7.59 | $15.85 |
5 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 $1.55 Median $1.55 Typical High $3.39 | Professional | 52 · Reduced service | $1.55 | $1.55 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $1.35 | Professional | 53 · Discontinued | $0.62 | $0.62 | $1.35 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 90 · Outside lab | $3.63 | $3.63 | $3.63 |
Fidelis Setting Professional Modifier 59 · Distinct service + 90 · Outside lab Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 59 · Distinct service + 90 · Outside lab | $2.95 | $2.95 | $2.95 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 90 · Outside lab | $5.37 | $5.37 | $5.37 |
Where New York sits
The same service costs 3.6 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· 48th of 51
$6.46
AK $21.88MD $6.03
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.