How much rates vary
Facilitymedian $8 · 10th to 90th $3 to $29Professionalmedian $7 · 10th to 90th $4 to $18
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 $5.75 Median $6.76 Typical High $19.50 | Facility | None | $5.75 | $6.76 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $14.79 | Professional | None | $5.75 | $6.61 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.89 | Professional | None | $3.47 | $3.47 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $20.42 | Facility | None | $7.76 | $7.76 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $20.89 | Professional | None | $3.80 | $7.41 | $20.89 |
CDPHP Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $17.38 Typical High $85.11 | Facility | None | $7.59 | $17.38 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $10.47 Typical High $51.29 | Professional | None | $6.17 | $10.47 | $51.29 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $10.00 Typical High $17.38 | Facility | None | $7.08 | $10.00 | $17.38 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $8.91 Typical High $10.23 | Professional | None | $4.57 | $8.91 | $10.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.24 Median $7.41 Typical High $8.71 | Professional | None | $3.24 | $7.41 | $8.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.31 Median $13.49 Typical High $43.65 | Facility | None | $6.31 | $13.49 | $43.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.89 | Professional | None | $5.13 | $5.13 | $5.89 |
MVP Health Care Setting Facility Modifier None Typical Low $7.76 Median $14.13 Typical High $257.04 | Facility | None | $7.76 | $14.13 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $15.85 | Professional | None | $5.62 | $5.62 | $15.85 |
United Setting Facility Modifier None Typical Low $2.63 Median $7.76 Typical High $9.77 | Facility | None | $2.63 | $7.76 | $9.77 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $11.75 | Professional | None | $3.24 | $4.68 | $11.75 |
Univera Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $19.50 | Facility | None | $3.24 | $3.24 | $19.50 |
Univera Setting Professional Modifier None Typical Low $3.24 Median $7.41 Typical High $9.12 | Professional | None | $3.24 | $7.41 | $9.12 |
4 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 $2.88 Median $2.88 Typical High $3.31 | Professional | 52 · Reduced service | $2.88 | $2.88 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.32 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.32 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $7.76 Median $11.75 Typical High $17.38 | Facility | QW · Waived lab test | $7.76 | $11.75 | $17.38 |
Fidelis Setting Professional Modifier QW · Waived lab test Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | QW · Waived lab test | $1.29 | $1.29 | $1.29 |
Where New York sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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· 39th of 51
$7.41
MN $83.18NC $6.17
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.