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 $6.46 Median $19.50 Typical High $57.54 | Facility | None | $6.46 | $19.50 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $12.02 Typical High $20.89 | Professional | None | $6.46 | $12.02 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $60.26 | Facility | None | $22.91 | $22.91 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $46.77 | Professional | None | $11.22 | $15.49 | $46.77 |
CDPHP Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $50.12 Typical High $95.50 | Facility | None | $22.39 | $50.12 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $151.36 | Professional | None | $16.22 | $30.90 | $151.36 |
Emblem Health Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $51.29 | Facility | None | $16.60 | $26.92 | $51.29 |
Emblem Health Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $44.67 | Professional | None | $10.72 | $13.80 | $44.67 |
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 $22.91 Typical High $25.70 | Professional | None | $9.55 | $22.91 | $25.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.60 Median $57.54 Typical High $109.65 | Facility | None | $16.60 | $57.54 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $257.04 | Facility | None | $13.80 | $29.51 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $46.77 | Professional | None | $15.14 | $15.14 | $46.77 |
United Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $28.84 | Facility | None | $20.42 | $22.91 | $28.84 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $34.67 | Professional | None | $9.55 | $12.59 | $34.67 |
Univera Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $58.88 | Facility | None | $9.55 | $9.55 | $58.88 |
Univera Setting Professional Modifier None Typical Low $9.55 Median $22.91 Typical High $27.54 | Professional | None | $9.55 | $22.91 | $27.54 |
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 $3.24 Median $3.24 Typical High $9.77 | Professional | 52 · Reduced service | $3.24 | $3.24 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $3.89 | Professional | 53 · Discontinued | $1.29 | $1.29 | $3.89 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 90 · Outside lab | $10.23 | $10.23 | $10.23 |
Where New York sits
The same service costs 6.6 times more in Alaska 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· 47th of 51
$17.78
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.