How much rates vary
Facilitymedian $14 · 10th to 90th $7 to $35Professionalmedian $8 · 10th to 90th $5 to $22
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 $7.08 Median $8.91 Typical High $26.30 | Facility | None | $7.08 | $8.91 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $8.51 Typical High $13.80 | Professional | None | $7.08 | $8.51 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $27.54 | Facility | None | $10.47 | $10.47 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $8.13 Typical High $25.12 | Professional | None | $4.68 | $8.13 | $25.12 |
CDPHP Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $22.39 Typical High $102.33 | Facility | None | $10.23 | $22.39 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $63.10 | Professional | None | $7.08 | $12.88 | $63.10 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $10.47 Typical High $23.44 | Facility | None | $5.01 | $10.47 | $23.44 |
Emblem Health Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $20.42 | Professional | None | $4.90 | $6.31 | $20.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $11.48 | Professional | None | $6.92 | $10.47 | $11.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $43.65 | Facility | None | $12.30 | $24.55 | $43.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $257.04 | Facility | None | $11.48 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $21.88 | Professional | None | $7.59 | $7.59 | $21.88 |
United Setting Facility Modifier None Typical Low $9.33 Median $10.47 Typical High $13.18 | Facility | None | $9.33 | $10.47 | $13.18 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $15.85 | Professional | None | $4.37 | $6.31 | $15.85 |
Univera Setting Facility Modifier None Typical Low $6.92 Median $12.02 Typical High $34.67 | Facility | None | $6.92 | $12.02 | $34.67 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $12.02 | Professional | None | $6.92 | $10.47 | $12.02 |
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 $3.55 Median $3.55 Typical High $4.47 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.78 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.78 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $10.47 Median $15.85 Typical High $23.44 | Facility | QW · Waived lab test | $10.47 | $15.85 | $23.44 |
United Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $5.62 Typical High $5.89 | Professional | QW · Waived lab test | $5.62 | $5.62 | $5.89 |
Where New York sits
The same service costs 5.6 times more in Minnesota 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· 37th of 51
$8.91
MN $41.69NJ $7.41
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.