How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $8Professionalmedian $2 · 10th to 90th $1 to $5
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 $1.78 Median $2.00 Typical High $4.57 | Facility | None | $1.78 | $2.00 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $2.00 Typical High $4.57 | Professional | None | $1.78 | $2.00 | $4.57 |
Ambetter Setting Professional Modifier None Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | None | $1.07 | $1.07 | $1.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $6.17 | Facility | None | $2.34 | $2.34 | $6.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.17 Median $2.24 Typical High $6.46 | Professional | None | $1.17 | $2.24 | $6.46 |
CDPHP Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $5.25 Typical High $25.70 | Facility | None | $2.29 | $5.25 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $3.24 Typical High $15.49 | Professional | None | $1.86 | $3.24 | $15.49 |
Emblem Health Setting Facility Modifier None Typical Low $1.51 Median $2.45 Typical High $5.37 | Facility | None | $1.51 | $2.45 | $5.37 |
Emblem Health Setting Professional Modifier None Typical Low $1.41 Median $2.69 Typical High $3.09 | Professional | None | $1.41 | $2.69 | $3.09 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.34 Typical High $2.82 | Professional | None | $2.00 | $2.34 | $2.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.86 Median $5.89 Typical High $25.70 | Facility | None | $1.86 | $5.89 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $2.95 Median $4.79 Typical High $257.04 | Facility | None | $2.95 | $4.79 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $4.90 | Professional | None | $1.91 | $1.91 | $4.90 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.34 Typical High $7.59 | Facility | None | $2.14 | $2.34 | $7.59 |
United Setting Professional Modifier None Typical Low $1.07 Median $1.58 Typical High $3.55 | Professional | None | $1.07 | $1.58 | $3.55 |
Univera Setting Facility Modifier None Typical Low $1.55 Median $2.04 Typical High $6.03 | Facility | None | $1.55 | $2.04 | $6.03 |
Univera Setting Professional Modifier None Typical Low $1.55 Median $2.34 Typical High $2.82 | Professional | None | $1.55 | $2.34 | $2.82 |
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 $0.87 Median $0.87 Typical High $1.00 | Professional | 52 · Reduced service | $0.87 | $0.87 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.40 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.40 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $2.34 Median $3.55 Typical High $5.37 | Facility | QW · Waived lab test | $2.34 | $3.55 | $5.37 |
Highmark BCBS Setting Professional Modifier QW · Waived lab test Typical Low $1.45 Median $1.45 Typical High $1.58 | Professional | QW · Waived lab test | $1.45 | $1.45 | $1.58 |
United Setting Professional Modifier QW · Waived lab test Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | QW · Waived lab test | $1.45 | $1.45 | $1.45 |
Where New York sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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
$2.24
MN $31.62DC $1.91
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.