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 $12.59 Median $26.30 Typical High $77.62 | Facility | None | $12.59 | $26.30 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $27.54 | Professional | None | $12.59 | $16.60 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $81.28 | Facility | None | $30.90 | $30.90 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $66.07 | Professional | None | $15.14 | $21.38 | $66.07 |
CDPHP Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $67.61 Typical High $186.21 | Facility | None | $30.20 | $67.61 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $204.17 | Professional | None | $21.38 | $41.69 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $69.18 | Facility | None | $17.78 | $30.90 | $69.18 |
Emblem Health Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $60.26 | Professional | None | $14.45 | $18.62 | $60.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $43.65 | Professional | None | $20.42 | $30.90 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $27.54 Median $53.70 Typical High $109.65 | Facility | None | $27.54 | $53.70 | $109.65 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $56.23 Typical High $257.04 | Facility | None | $13.80 | $56.23 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $63.10 | Professional | None | $25.12 | $25.12 | $63.10 |
United Setting Facility Modifier None Typical Low $28.18 Median $30.90 Typical High $104.71 | Facility | None | $28.18 | $30.90 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $46.77 | Professional | None | $12.88 | $18.62 | $46.77 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $117.49 | Facility | None | $20.42 | $35.48 | $117.49 |
Univera Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $43.65 | Professional | None | $20.42 | $30.90 | $43.65 |
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 $6.31 Median $6.31 Typical High $13.18 | Professional | 52 · Reduced service | $6.31 | $6.31 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $5.25 | Professional | 53 · Discontinued | $2.51 | $2.51 | $5.25 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 90 · Outside lab | $20.42 | $20.42 | $20.42 |
Where New York sits
The same service costs 4.2 times more in Kansas than in Alabama. 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· 36th of 51
$26.30
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.