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 $6.31 Median $9.77 Typical High $28.84 | Facility | None | $6.31 | $9.77 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $10.23 | Professional | None | $6.31 | $6.31 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $31.62 | Facility | None | $12.02 | $12.02 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $9.12 Typical High $27.54 | Professional | None | $4.57 | $9.12 | $27.54 |
CDPHP Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $20.89 Typical High $42.66 | Facility | None | $7.41 | $20.89 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $13.49 Typical High $57.54 | Professional | None | $6.46 | $13.49 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $10.23 Median $15.49 Typical High $26.92 | Facility | None | $10.23 | $15.49 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $23.44 | Professional | None | $5.62 | $7.24 | $23.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $13.18 | Professional | None | $6.92 | $9.55 | $13.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.23 Median $26.30 Typical High $54.95 | Facility | None | $10.23 | $26.30 | $54.95 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $257.04 | Facility | None | $13.80 | $21.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $23.99 | Professional | None | $7.41 | $7.41 | $23.99 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $15.14 | Facility | None | $10.96 | $12.02 | $15.14 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $17.38 | Professional | None | $4.79 | $6.92 | $17.38 |
Univera Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $14.45 | Facility | None | $6.92 | $6.92 | $14.45 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $13.49 | Professional | None | $6.92 | $9.55 | $13.49 |
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 $3.16 Median $3.16 Typical High $4.90 | Professional | 52 · Reduced service | $3.16 | $3.16 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.95 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.95 |
Highmark BCBS Setting Professional Modifier 91 · Repeat lab test Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 91 · Repeat lab test | $7.76 | $7.76 | $7.76 |
Where New York sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 48th of 51
$8.91
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.