How much rates vary
Facilitymedian $15 · 10th to 90th $11 to $42Professionalmedian $12 · 10th to 90th $6 to $31
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 $10.23 Median $11.75 Typical High $34.67 | Facility | None | $10.23 | $11.75 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.59 | Professional | None | $10.23 | $10.23 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $35.48 | Facility | None | $13.80 | $13.80 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $10.96 Typical High $36.31 | Professional | None | $6.76 | $10.96 | $36.31 |
CDPHP Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $30.20 Typical High $147.91 | Facility | None | $13.49 | $30.20 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $91.20 | Professional | None | $9.55 | $18.62 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $17.78 Typical High $30.90 | Facility | None | $12.02 | $17.78 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $26.92 | Professional | None | $6.46 | $9.55 | $26.92 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $18.20 | Professional | None | $11.75 | $13.80 | $18.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.33 Median $28.84 Typical High $64.57 | Facility | None | $9.33 | $28.84 | $64.57 |
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 $10.96 Median $10.96 Typical High $28.18 | Professional | None | $10.96 | $10.96 | $28.18 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $16.98 | Facility | None | $12.30 | $13.80 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.32 Typical High $20.42 | Professional | None | $5.75 | $8.32 | $20.42 |
Univera Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $34.67 | Facility | None | $8.91 | $13.80 | $34.67 |
Univera Setting Professional Modifier None Typical Low $8.91 Median $13.80 Typical High $20.89 | Professional | None | $8.91 | $13.80 | $20.89 |
5 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 $5.13 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.34 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 90 · Outside lab | $6.17 | $6.17 | $6.17 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 90 · Outside lab | $5.50 | $5.50 | $5.50 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $9.12 Median $9.12 Typical High $10.23 | Professional | 90 · Outside lab | $9.12 | $9.12 | $10.23 |
Where New York sits
The same service costs 3.7 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· 30th of 51
$13.49
AK $38.02MD $10.23
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.