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 $12.30 Median $19.05 Typical High $69.18 | Facility | None | $12.30 | $19.05 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $26.92 | Professional | None | $12.30 | $19.05 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $58.88 | Facility | None | $22.39 | $22.39 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $22.39 Typical High $51.29 | Professional | None | $8.91 | $22.39 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $47.86 Typical High $64.57 | Facility | None | $20.42 | $47.86 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $30.90 Typical High $107.15 | Professional | None | $13.18 | $30.90 | $107.15 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $50.12 | Facility | None | $10.00 | $22.39 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $43.65 | Professional | None | $11.22 | $15.49 | $43.65 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $24.55 | Professional | None | $14.79 | $21.38 | $24.55 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $40.74 Typical High $257.04 | Facility | None | $13.80 | $40.74 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $46.77 | Professional | None | $14.45 | $14.45 | $46.77 |
United Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $28.18 | Facility | None | $20.42 | $22.39 | $28.18 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $33.88 | Professional | None | $10.00 | $14.13 | $33.88 |
Univera Setting Facility Modifier None Typical Low $14.79 Median $25.70 Typical High $45.71 | Facility | None | $14.79 | $25.70 | $45.71 |
Univera Setting Professional Modifier None Typical Low $13.49 Median $21.38 Typical High $25.12 | Professional | None | $13.49 | $21.38 | $25.12 |
1 more rate 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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $22.39 Median $33.88 Typical High $50.12 | Facility | QW · Waived lab test | $22.39 | $33.88 | $50.12 |
Where New York sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 29th of 51
$21.38
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.