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 $4.57 Median $5.89 Typical High $16.60 | Facility | None | $4.57 | $5.89 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.89 | Professional | None | $4.68 | $4.68 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $16.98 | Facility | None | $6.46 | $6.46 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $5.25 Typical High $17.38 | Professional | None | $3.24 | $5.25 | $17.38 |
CDPHP Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $14.13 Typical High $67.61 | Facility | None | $6.31 | $14.13 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $8.91 Typical High $83.18 | Professional | None | $4.47 | $8.91 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $8.51 Typical High $14.79 | Facility | None | $6.03 | $8.51 | $14.79 |
Emblem Health Setting Professional Modifier None Typical Low $3.09 Median $3.89 Typical High $12.59 | Professional | None | $3.09 | $3.89 | $12.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $7.41 | Professional | None | $4.27 | $6.46 | $7.41 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.75 Median $9.55 Typical High $14.13 | Facility | None | $5.75 | $9.55 | $14.13 |
MVP Health Care Setting Facility Modifier None Typical Low $8.13 Median $13.80 Typical High $257.04 | Facility | None | $8.13 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $19.95 | Professional | None | $5.25 | $5.25 | $19.95 |
United Setting Facility Modifier None Typical Low $5.89 Median $6.46 Typical High $8.13 | Facility | None | $5.89 | $6.46 | $8.13 |
United Setting Professional Modifier None Typical Low $2.75 Median $4.27 Typical High $10.00 | Professional | None | $2.75 | $4.27 | $10.00 |
Univera Setting Facility Modifier None Typical Low $4.27 Median $7.59 Typical High $25.12 | Facility | None | $4.27 | $7.59 | $25.12 |
Univera Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $7.76 | Professional | None | $4.27 | $6.46 | $7.76 |
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 $2.29 Median $2.29 Typical High $2.75 | Professional | 52 · Reduced service | $2.29 | $2.29 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.12 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.12 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 90 · Outside lab | $4.37 | $4.37 | $4.37 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 33rd of 51
$6.03
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.