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 $26.30 Typical High $109.65 | Facility | None | $6.46 | $26.30 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $26.30 | Professional | None | $6.46 | $6.46 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $79.43 | Facility | None | $30.90 | $30.90 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $23.44 Typical High $40.74 | Professional | None | $12.30 | $23.44 | $40.74 |
CDPHP Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $66.07 Typical High $95.50 | Facility | None | $30.20 | $66.07 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $41.69 Typical High $147.91 | Professional | None | $18.20 | $41.69 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $23.99 Median $37.15 Typical High $69.18 | Facility | None | $23.99 | $37.15 | $69.18 |
Emblem Health Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $60.26 | Professional | None | $14.45 | $18.62 | $60.26 |
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 $26.30 Typical High $33.88 | Professional | None | $9.55 | $26.30 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $117.49 | Facility | None | $33.88 | $38.02 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $63.10 | Professional | None | $8.32 | $8.32 | $63.10 |
United Setting Facility Modifier None Typical Low $27.54 Median $30.90 Typical High $38.90 | Facility | None | $27.54 | $30.90 | $38.90 |
United Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $46.77 | Professional | None | $12.88 | $14.79 | $46.77 |
Univera Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $35.48 | Facility | None | $9.55 | $9.55 | $35.48 |
Univera Setting Professional Modifier None Typical Low $9.55 Median $26.30 Typical High $33.88 | Professional | None | $9.55 | $26.30 | $33.88 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 90 · Outside lab | $13.80 | $13.80 | $13.80 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Kansas. 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
$21.88
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.