How much rates vary
Facilitymedian $14 · 10th to 90th $8 to $41Professionalmedian $10 · 10th to 90th $5 to $26
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 $6.46 Median $9.77 Typical High $28.84 | Facility | None | $6.46 | $9.77 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $12.88 | Professional | None | $6.46 | $9.77 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $30.20 | Facility | None | $11.48 | $11.48 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $26.92 | Professional | None | $5.75 | $8.91 | $26.92 |
CDPHP Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.70 Typical High $95.50 | Facility | None | $11.22 | $25.70 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.22 Typical High $77.62 | Professional | None | $9.33 | $16.22 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $13.80 Typical High $25.70 | Facility | None | $8.51 | $13.80 | $25.70 |
Emblem Health Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $12.88 | Professional | None | $6.76 | $8.13 | $12.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $13.80 | Professional | None | $7.59 | $11.48 | $13.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.12 Median $20.89 Typical High $52.48 | Facility | None | $9.12 | $20.89 | $52.48 |
Highmark BCBS Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.71 | Professional | None | $6.92 | $6.92 | $8.71 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $257.04 | Facility | None | $13.80 | $20.89 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $39.81 | Professional | None | $9.33 | $9.33 | $39.81 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.48 Typical High $14.45 | Facility | None | $10.47 | $11.48 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $17.38 | Professional | None | $4.79 | $6.92 | $17.38 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $57.54 | Facility | None | $7.59 | $13.18 | $57.54 |
Univera Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $13.80 | Professional | None | $7.59 | $11.48 | $13.80 |
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 $3.24 Median $3.24 Typical High $4.90 | Professional | 52 · Reduced service | $3.24 | $3.24 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.95 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.95 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $11.48 Median $17.38 Typical High $25.70 | Facility | QW · Waived lab test | $11.48 | $17.38 | $25.70 |
United Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $7.08 Typical High $7.08 | Professional | QW · Waived lab test | $5.37 | $7.08 | $7.08 |
Where New York sits
The same service costs 5.2 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· 40th of 51
$10.47
MN $45.71MD $8.71
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.