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 $16.22 Median $18.62 Typical High $54.95 | Facility | None | $16.22 | $18.62 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $25.70 | Professional | None | $16.22 | $16.22 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $57.54 | Facility | None | $21.88 | $21.88 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $58.88 | Professional | None | $10.96 | $17.38 | $58.88 |
CDPHP Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $47.86 Typical High $239.88 | Facility | None | $21.38 | $47.86 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $29.51 Typical High $117.49 | Professional | None | $15.49 | $29.51 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $15.49 Median $25.12 Typical High $48.98 | Facility | None | $15.49 | $25.12 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $42.66 | Professional | None | $10.23 | $13.18 | $42.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $24.55 | Professional | None | $14.45 | $21.88 | $24.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $43.65 Typical High $104.71 | Facility | None | $19.05 | $43.65 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $45.71 | Professional | None | $17.78 | $17.78 | $45.71 |
United Setting Facility Modifier None Typical Low $19.95 Median $21.88 Typical High $75.86 | Facility | None | $19.95 | $21.88 | $75.86 |
United Setting Professional Modifier None Typical Low $9.33 Median $14.45 Typical High $33.11 | Professional | None | $9.33 | $14.45 | $33.11 |
Univera Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $83.18 | Facility | None | $14.45 | $25.12 | $83.18 |
Univera Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $26.30 | Professional | None | $14.45 | $21.88 | $26.30 |
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 $8.13 Median $8.13 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.72 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.72 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $13.18 Median $14.45 Typical High $14.79 | Professional | 90 · Outside lab | $13.18 | $14.45 | $14.79 |
Where New York sits
The same service costs 13.5 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· 35th of 51
$20.89
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.