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 $2.14 Median $3.31 Typical High $9.77 | Facility | None | $2.14 | $3.31 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $5.13 | Professional | None | $2.14 | $3.09 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $10.23 | Facility | None | $3.89 | $3.89 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.02 Typical High $8.91 | Professional | None | $1.95 | $3.02 | $8.91 |
CDPHP Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.71 Typical High $30.90 | Facility | None | $3.80 | $8.71 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.62 Typical High $26.30 | Professional | None | $3.16 | $5.62 | $26.30 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $8.91 | Facility | None | $3.47 | $5.13 | $8.91 |
Emblem Health Setting Professional Modifier None Typical Low $1.82 Median $2.34 Typical High $7.59 | Professional | None | $1.82 | $2.34 | $7.59 |
Excellus BCBS Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.41 Median $3.72 Typical High $4.37 | Professional | None | $1.41 | $3.72 | $4.37 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.24 Median $10.47 Typical High $30.90 | Facility | None | $3.24 | $10.47 | $30.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
MVP Health Care Setting Facility Modifier None Typical Low $3.02 Median $7.76 Typical High $257.04 | Facility | None | $3.02 | $7.76 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $8.13 | Professional | None | $2.63 | $2.63 | $8.13 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.89 Typical High $10.47 | Facility | None | $3.55 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.34 Typical High $5.89 | Professional | None | $1.78 | $2.34 | $5.89 |
Univera Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $10.00 | Facility | None | $1.41 | $1.41 | $10.00 |
Univera Setting Professional Modifier None Typical Low $1.41 Median $3.72 Typical High $4.68 | Professional | None | $1.41 | $3.72 | $4.68 |
3 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 $1.07 Median $1.07 Typical High $1.66 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.68 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.68 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $3.89 Median $5.89 Typical High $8.91 | Facility | QW · Waived lab test | $3.89 | $5.89 | $8.91 |
Where New York sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 46th of 51
$3.31
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.