How much rates vary
Facilitymedian $13 · 10th to 90th $7 to $37Professionalmedian $10 · 10th to 90th $6 to $29
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 $9.55 Median $10.96 Typical High $32.36 | Facility | None | $9.55 | $10.96 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $18.62 | Professional | None | $9.55 | $10.96 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $33.11 | Facility | None | $12.88 | $12.88 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $33.88 | Professional | None | $6.31 | $10.00 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.18 Typical High $138.04 | Facility | None | $12.59 | $28.18 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $17.38 Typical High $63.10 | Professional | None | $10.23 | $17.38 | $63.10 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $13.80 Typical High $28.84 | Facility | None | $7.08 | $13.80 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $7.76 Typical High $25.12 | Professional | None | $6.03 | $7.76 | $25.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $14.13 | Professional | None | $6.92 | $12.30 | $14.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.72 Median $25.12 Typical High $64.57 | Facility | None | $10.72 | $25.12 | $64.57 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
MVP Health Care Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $257.04 | Facility | None | $12.88 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $26.30 | Professional | None | $8.13 | $8.13 | $26.30 |
United Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $37.15 | Facility | None | $11.48 | $12.88 | $37.15 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $19.50 | Professional | None | $5.75 | $7.76 | $19.50 |
Univera Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $29.51 | Facility | None | $6.92 | $6.92 | $29.51 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $14.45 | Professional | None | $6.92 | $12.30 | $14.45 |
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 $4.79 Median $4.79 Typical High $5.50 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.19 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.19 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $12.88 Median $19.50 Typical High $28.84 | Facility | QW · Waived lab test | $12.88 | $19.50 | $28.84 |
United Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $7.08 Typical High $7.94 | Professional | QW · Waived lab test | $7.08 | $7.08 | $7.94 |
Where New York sits
The same service costs 4.3 times more in Minnesota 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· 47th of 51
$10.96
MN $43.65MD $10.23
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.