How much rates vary
Facilitymedian $10 · 10th to 90th $6 to $30Professionalmedian $8 · 10th to 90th $4 to $19
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 $4.37 Median $8.13 Typical High $23.99 | Facility | None | $4.37 | $8.13 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.13 Typical High $11.22 | Professional | None | $4.37 | $5.13 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $25.12 | Facility | None | $9.55 | $9.55 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.08 Typical High $21.88 | Professional | None | $4.68 | $7.08 | $21.88 |
CDPHP Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.89 Typical High $63.10 | Facility | None | $9.33 | $20.89 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $12.88 Typical High $56.23 | Professional | None | $6.61 | $12.88 | $56.23 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $9.55 Typical High $21.38 | Facility | None | $5.01 | $9.55 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $6.76 Typical High $18.62 | Professional | None | $4.47 | $6.76 | $18.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.31 Median $9.55 Typical High $10.72 | Professional | None | $6.31 | $9.55 | $10.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.59 Median $18.20 Typical High $43.65 | Facility | None | $7.59 | $18.20 | $43.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | None | $5.75 | $6.31 | $6.31 |
MVP Health Care Setting Facility Modifier None Typical Low $10.23 Median $17.38 Typical High $257.04 | Facility | None | $10.23 | $17.38 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $30.20 | Professional | None | $7.76 | $7.76 | $30.20 |
United Setting Facility Modifier None Typical Low $8.71 Median $9.55 Typical High $12.02 | Facility | None | $8.71 | $9.55 | $12.02 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $14.45 | Professional | None | $3.98 | $5.62 | $14.45 |
Univera Setting Facility Modifier None Typical Low $6.31 Median $7.94 Typical High $24.55 | Facility | None | $6.31 | $7.94 | $24.55 |
Univera Setting Professional Modifier None Typical Low $6.31 Median $9.55 Typical High $11.48 | Professional | None | $6.31 | $9.55 | $11.48 |
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 $2.14 Median $2.14 Typical High $4.07 | Professional | 52 · Reduced service | $2.14 | $2.14 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.62 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.62 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 90 · Outside lab | $4.27 | $4.27 | $4.27 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 90 · Outside lab | $3.98 | $3.98 | $3.98 |
Where New York sits
The same service costs 5.9 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· 40th of 51
$8.13
AK $32.36AL $5.50
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.