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 $4.47 Median $5.13 Typical High $15.14 | Facility | None | $4.47 | $5.13 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.13 Typical High $8.32 | Professional | None | $4.47 | $5.13 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $15.49 | Facility | None | $6.03 | $6.03 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $4.79 Typical High $15.85 | Professional | None | $2.95 | $4.79 | $15.85 |
CDPHP Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $13.49 Typical High $64.57 | Facility | None | $5.89 | $13.49 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $8.13 Typical High $39.81 | Professional | None | $4.27 | $8.13 | $39.81 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $6.03 Typical High $13.49 | Facility | None | $3.47 | $6.03 | $13.49 |
Emblem Health Setting Professional Modifier None Typical Low $2.82 Median $4.17 Typical High $11.75 | Professional | None | $2.82 | $4.17 | $11.75 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.03 Typical High $7.24 | Professional | None | $5.13 | $6.03 | $7.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.47 Median $14.45 Typical High $30.90 | Facility | None | $4.47 | $14.45 | $30.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.63 Median $3.98 Typical High $4.27 | Professional | None | $3.63 | $3.98 | $4.27 |
MVP Health Care Setting Facility Modifier None Typical Low $7.41 Median $12.88 Typical High $257.04 | Facility | None | $7.41 | $12.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $12.30 | Professional | None | $4.79 | $4.79 | $12.30 |
United Setting Facility Modifier None Typical Low $2.00 Median $6.03 Typical High $15.14 | Facility | None | $2.00 | $6.03 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $9.12 | Professional | None | $2.51 | $3.63 | $9.12 |
Univera Setting Facility Modifier None Typical Low $3.98 Median $6.03 Typical High $15.14 | Facility | None | $3.98 | $6.03 | $15.14 |
Univera Setting Professional Modifier None Typical Low $3.98 Median $6.03 Typical High $7.76 | Professional | None | $3.98 | $6.03 | $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 $2.24 Median $2.24 Typical High $2.57 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $1.02 | Professional | 53 · Discontinued | $0.89 | $0.89 | $1.02 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $3.02 Median $3.02 Typical High $4.27 | Professional | 90 · Outside lab | $3.02 | $3.02 | $4.27 |
Where New York sits
The same service costs 14.5 times more in Minnesota 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· 30th 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.