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 $9.33 Median $14.79 Typical High $43.65 | Facility | None | $9.33 | $14.79 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | None | $9.33 | $9.33 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $44.67 | Facility | None | $17.38 | $17.38 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $38.90 | Professional | None | $6.92 | $12.59 | $38.90 |
CDPHP Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.12 Typical High $61.66 | Facility | None | $11.22 | $25.12 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $19.95 Typical High $83.18 | Professional | None | $9.77 | $19.95 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $15.49 Median $22.39 Typical High $38.90 | Facility | None | $15.49 | $22.39 | $38.90 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $33.88 | Professional | None | $8.13 | $10.47 | $33.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $19.05 | Professional | None | $10.47 | $14.13 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $13.80 Median $43.65 Typical High $120.23 | Facility | None | $13.80 | $43.65 | $120.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $257.04 | Facility | None | $13.80 | $30.90 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $35.48 | Professional | None | $11.22 | $11.22 | $35.48 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $21.38 | Facility | None | $15.49 | $17.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $25.70 | Professional | None | $7.24 | $10.23 | $25.70 |
Univera Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $21.88 | Facility | None | $10.47 | $10.47 | $21.88 |
Univera Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $19.50 | Professional | None | $10.47 | $14.13 | $19.50 |
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 $4.68 Median $4.68 Typical High $7.41 | Professional | 52 · Reduced service | $4.68 | $4.68 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.95 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.95 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $11.48 Median $11.48 Typical High $12.88 | Professional | 90 · Outside lab | $11.48 | $11.48 | $12.88 |
Where New York sits
The same service costs 4.0 times more in Alaska 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· 45th of 51
$13.18
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.