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 $19.95 Median $25.70 Typical High $81.28 | Facility | None | $19.95 | $25.70 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | None | $19.95 | $19.95 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $69.18 | Facility | None | $26.92 | $26.92 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $26.92 Typical High $74.13 | Professional | None | $13.18 | $26.92 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $63.10 Typical High $288.40 | Facility | None | $26.30 | $63.10 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $38.90 Typical High $128.82 | Professional | None | $18.62 | $38.90 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $60.26 | Facility | None | $20.89 | $32.36 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $52.48 | Professional | None | $12.59 | $16.22 | $52.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $34.67 | Professional | None | $17.38 | $26.92 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $125.89 | Facility | None | $25.70 | $37.15 | $125.89 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $47.86 Typical High $257.04 | Facility | None | $13.80 | $47.86 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $54.95 | Professional | None | $21.38 | $21.38 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $33.11 | Facility | None | $23.99 | $26.92 | $33.11 |
United Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $39.81 | Professional | None | $11.22 | $17.38 | $39.81 |
Univera Setting Facility Modifier None Typical Low $17.38 Median $30.90 Typical High $67.61 | Facility | None | $17.38 | $30.90 | $67.61 |
Univera Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $34.67 | Professional | None | $17.38 | $26.92 | $34.67 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 90 · Outside lab | $12.02 | $12.02 | $12.02 |
Where New York sits
The same service costs 4.0 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· 24th of 51
$25.70
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.