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 $12.02 Median $21.88 Typical High $77.62 | Facility | None | $12.02 | $21.88 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | None | $12.02 | $12.02 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $66.07 | Facility | None | $25.70 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $16.22 Typical High $52.48 | Professional | None | $9.12 | $16.22 | $52.48 |
CDPHP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $177.83 | Facility | None | $25.12 | $54.95 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $123.03 | Professional | None | $15.49 | $33.88 | $123.03 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $25.70 Typical High $57.54 | Facility | None | $10.00 | $25.70 | $57.54 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $50.12 | Professional | None | $12.02 | $15.49 | $50.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $16.60 Typical High $28.18 | Professional | None | $8.13 | $16.60 | $28.18 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $257.04 | Facility | None | $13.80 | $33.11 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $52.48 | Professional | None | $16.60 | $16.60 | $52.48 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $31.62 | Facility | None | $22.91 | $25.70 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $38.02 | Professional | None | $10.72 | $14.45 | $38.02 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $29.51 | Facility | None | $8.13 | $8.13 | $29.51 |
Univera Setting Professional Modifier None Typical Low $8.13 Median $16.60 Typical High $28.84 | Professional | None | $8.13 | $16.60 | $28.84 |
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 $6.03 Median $6.03 Typical High $10.96 | Professional | 52 · Reduced service | $6.03 | $6.03 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $4.37 | Professional | 53 · Discontinued | $2.45 | $2.45 | $4.37 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $25.70 Median $38.02 Typical High $57.54 | Facility | QW · Waived lab test | $25.70 | $38.02 | $57.54 |
United Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | QW · Waived lab test | $7.08 | $7.08 | $10.00 |
Where New York sits
The same service costs 3.8 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· 47th of 51
$17.38
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.