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 $7.24 Median $9.33 Typical High $30.20 | Facility | None | $7.24 | $9.33 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | None | $7.24 | $7.24 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $25.70 | Facility | None | $9.77 | $9.77 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $7.59 Typical High $25.70 | Professional | None | $4.90 | $7.59 | $25.70 |
CDPHP Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $21.88 Typical High $107.15 | Facility | None | $9.55 | $21.88 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $47.86 | Professional | None | $6.92 | $13.49 | $47.86 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $22.39 | Facility | None | $8.51 | $12.88 | $22.39 |
Emblem Health Setting Professional Modifier None Typical Low $4.68 Median $6.92 Typical High $19.05 | Professional | None | $4.68 | $6.92 | $19.05 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $10.96 | Professional | None | $8.13 | $9.77 | $10.96 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $18.20 Typical High $257.04 | Facility | None | $10.96 | $18.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $30.20 | Professional | None | $7.94 | $7.94 | $30.20 |
United Setting Facility Modifier None Typical Low $8.91 Median $9.77 Typical High $33.11 | Facility | None | $8.91 | $9.77 | $33.11 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.46 Typical High $14.79 | Professional | None | $4.17 | $6.46 | $14.79 |
Univera Setting Facility Modifier None Typical Low $6.46 Median $8.51 Typical High $23.44 | Facility | None | $6.46 | $8.51 | $23.44 |
Univera Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $10.96 | Professional | None | $6.46 | $9.77 | $10.96 |
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 $3.63 Median $3.63 Typical High $4.17 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.66 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.66 |
Highmark BCBS Setting Facility Modifier 90 · Outside lab Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 90 · Outside lab | $6.61 | $6.61 | $6.61 |
Where New York sits
The same service costs 4.1 times more in Kansas than in Nebraska. 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· 35th of 51
$8.51
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.