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 $6.46 Median $12.59 Typical High $37.15 | Facility | None | $6.46 | $12.59 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $13.49 | Professional | None | $6.46 | $7.76 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $38.02 | Facility | None | $14.79 | $14.79 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $32.36 | Professional | None | $7.24 | $10.96 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $32.36 Typical High $95.50 | Facility | None | $14.45 | $32.36 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.95 Typical High $97.72 | Professional | None | $10.47 | $19.95 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $33.11 | Facility | None | $11.48 | $17.78 | $33.11 |
Emblem Health Setting Professional Modifier None Typical Low $6.92 Median $10.00 Typical High $28.84 | Professional | None | $6.92 | $10.00 | $28.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $17.38 | Professional | None | $10.00 | $14.79 | $17.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.72 Median $30.20 Typical High $67.61 | Facility | None | $10.72 | $30.20 | $67.61 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $21.38 Typical High $257.04 | Facility | None | $13.80 | $21.38 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $30.20 | Professional | None | $11.75 | $11.75 | $30.20 |
United Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $52.48 | Facility | None | $13.18 | $14.79 | $52.48 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $22.39 | Professional | None | $6.17 | $8.91 | $22.39 |
Univera Setting Facility Modifier None Typical Low $9.77 Median $10.00 Typical High $38.02 | Facility | None | $9.77 | $10.00 | $38.02 |
Univera Setting Professional Modifier None Typical Low $9.77 Median $14.79 Typical High $19.95 | Professional | None | $9.77 | $14.79 | $19.95 |
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 $6.31 | Professional | 52 · Reduced service | $3.24 | $3.24 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.51 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.51 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 90 · Outside lab | $5.01 | $5.01 | $5.01 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 90 · Outside lab | $9.77 | $9.77 | $9.77 |
Where New York sits
The same service costs 3.5 times more in Alaska 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· 38th of 51
$12.59
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.