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 $18.20 Median $22.91 Typical High $67.61 | Facility | None | $18.20 | $22.91 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | None | $18.20 | $18.20 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $69.18 | Facility | None | $26.92 | $26.92 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $67.61 | Professional | None | $12.02 | $19.50 | $67.61 |
CDPHP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $269.15 | Facility | None | $25.70 | $56.23 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $33.11 Typical High $162.18 | Professional | None | $18.20 | $33.11 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $60.26 | Facility | None | $19.05 | $30.90 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $51.29 | Professional | None | $12.59 | $18.62 | $51.29 |
Excellus BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Excellus BCBS Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $31.62 | Professional | None | $21.88 | $26.92 | $31.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.89 Median $48.98 Typical High $117.49 | Facility | None | $20.89 | $48.98 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $47.86 Typical High $257.04 | Facility | None | $13.80 | $47.86 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $54.95 | Professional | None | $18.62 | $18.62 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $75.86 | Facility | None | $23.99 | $26.92 | $75.86 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $39.81 | Professional | None | $11.22 | $15.85 | $39.81 |
Univera Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $63.10 | Facility | None | $17.38 | $26.92 | $63.10 |
Univera Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $34.67 | Professional | None | $17.38 | $26.92 | $34.67 |
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 $9.12 Median $9.12 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $9.12 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.57 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.57 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 90 · Outside lab | $17.78 | $17.78 | $17.78 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Alabama. 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· 30th of 51
$25.12
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.