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 $13.18 Median $15.14 Typical High $44.67 | Facility | None | $13.18 | $15.14 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $24.55 | Professional | None | $13.18 | $15.14 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $46.77 | Facility | None | $15.85 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $18.20 Typical High $52.48 | Professional | None | $8.71 | $18.20 | $52.48 |
CDPHP Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $25.70 | Professional | None | $17.78 | $17.78 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $38.90 Typical High $194.98 | Facility | None | $17.38 | $38.90 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $114.82 | Professional | None | $19.95 | $32.36 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $17.78 Typical High $39.81 | Facility | None | $7.59 | $17.78 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $34.67 | Professional | None | $8.32 | $11.48 | $34.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $19.50 | Professional | None | $11.48 | $15.14 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $79.43 | Facility | None | $14.13 | $30.90 | $79.43 |
Highmark BCBS Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | None | $11.75 | $11.75 | $13.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $257.04 | Facility | None | $13.80 | $24.55 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $43.65 | Professional | None | $14.45 | $14.45 | $43.65 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $22.39 | Facility | None | $16.22 | $17.78 | $22.39 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $26.92 | Professional | None | $7.41 | $10.72 | $26.92 |
Univera Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $37.15 | Facility | None | $11.48 | $11.48 | $37.15 |
Univera Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $19.95 | Professional | None | $11.48 | $15.14 | $19.95 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 90 · Outside lab | $5.62 | $5.62 | $5.62 |
Where New York sits
The same service costs 3.7 times more in Vermont 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· 44th of 51
$16.22
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.