How much rates vary
Facilitymedian $19 · 10th to 90th $10 to $60Professionalmedian $14 · 10th to 90th $8 to $35
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 $6.46 Median $15.14 Typical High $44.67 | Facility | None | $6.46 | $15.14 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $16.60 | Professional | None | $6.46 | $9.55 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $46.77 | Facility | None | $17.78 | $17.78 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $36.31 | Professional | None | $8.91 | $12.30 | $36.31 |
CDPHP Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $38.90 Typical High $95.50 | Facility | None | $17.38 | $38.90 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $24.55 Typical High $112.20 | Professional | None | $12.59 | $24.55 | $112.20 |
Emblem Health Setting Facility Modifier None Typical Low $15.14 Median $22.91 Typical High $40.74 | Facility | None | $15.14 | $22.91 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $34.67 | Professional | None | $8.32 | $10.72 | $34.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.55 Median $17.78 Typical High $21.38 | Professional | None | $9.55 | $17.78 | $21.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $13.18 Median $44.67 Typical High $154.88 | Facility | None | $13.18 | $44.67 | $154.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $257.04 | Facility | None | $13.80 | $23.44 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $37.15 | Professional | None | $14.45 | $14.45 | $37.15 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $60.26 | Facility | None | $16.22 | $17.78 | $60.26 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $26.92 | Professional | None | $7.59 | $10.72 | $26.92 |
Univera Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $45.71 | Facility | None | $9.55 | $9.55 | $45.71 |
Univera Setting Professional Modifier None Typical Low $9.55 Median $17.78 Typical High $26.30 | Professional | None | $9.55 | $17.78 | $26.30 |
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 $3.24 Median $3.24 Typical High $7.59 | Professional | 52 · Reduced service | $3.24 | $3.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $3.02 | Professional | 53 · Discontinued | $1.29 | $1.29 | $3.02 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 90 · Outside lab | $8.13 | $8.13 | $8.13 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 90 · Outside lab | $4.79 | $4.79 | $4.79 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 90 · Outside lab | $12.02 | $12.02 | $12.02 |
Where New York sits
The same service costs 7.4 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· 41st of 51
$14.79
KS $56.23AL $7.59
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.