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 $8.51 Median $12.30 Typical High $35.48 | Facility | None | $8.51 | $12.30 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $13.18 | Professional | None | $7.24 | $7.24 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $37.15 | Facility | None | $14.45 | $14.45 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $32.36 | Professional | None | $7.08 | $9.77 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $107.15 | Facility | None | $14.13 | $30.90 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $19.50 Typical High $95.50 | Professional | None | $10.00 | $19.50 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $32.36 | Facility | None | $12.02 | $18.20 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $27.54 | Professional | None | $6.76 | $9.12 | $27.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $15.85 | Professional | None | $9.12 | $12.59 | $15.85 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.60 Median $20.42 Typical High $29.51 | Facility | None | $16.60 | $20.42 | $29.51 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $29.51 | Professional | None | $11.48 | $11.48 | $29.51 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $17.78 | Facility | None | $12.88 | $14.45 | $17.78 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $21.38 | Professional | None | $6.03 | $8.32 | $21.38 |
Univera Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $30.90 | Facility | None | $9.12 | $9.12 | $30.90 |
Univera Setting Professional Modifier None Typical Low $9.12 Median $12.59 Typical High $16.22 | Professional | None | $9.12 | $12.59 | $16.22 |
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 $3.63 Median $3.63 Typical High $6.17 | Professional | 52 · Reduced service | $3.63 | $3.63 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $2.45 | Professional | 53 · Discontinued | $1.45 | $1.45 | $2.45 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $9.55 Median $9.55 Typical High $10.72 | Professional | 90 · Outside lab | $9.55 | $9.55 | $10.72 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 43rd of 51
$11.48
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.