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 $6.61 Median $9.77 Typical High $30.20 | Facility | None | $6.61 | $9.77 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.47 | Professional | None | $6.61 | $6.61 | $10.47 |
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 $4.79 Median $9.33 Typical High $27.54 | Professional | None | $4.79 | $9.33 | $27.54 |
CDPHP Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $21.38 Typical High $42.66 | Facility | None | $7.94 | $21.38 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $57.54 | Professional | None | $6.76 | $13.49 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $26.92 | Facility | None | $10.72 | $15.85 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $33.88 | Professional | None | $5.62 | $7.24 | $33.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $13.18 | Professional | None | $7.24 | $11.48 | $13.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $56.23 | Facility | None | $12.59 | $25.12 | $56.23 |
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 $7.76 Median $7.76 Typical High $24.55 | Professional | None | $7.76 | $7.76 | $24.55 |
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 $5.01 Median $6.61 Typical High $18.20 | Professional | None | $5.01 | $6.61 | $18.20 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $13.80 Typical High $17.78 | Facility | None | $7.94 | $13.80 | $17.78 |
Univera Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $13.49 | Professional | None | $7.24 | $11.48 | $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 $3.31 Median $3.31 Typical High $5.13 | Professional | 52 · Reduced service | $3.31 | $3.31 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $2.04 | Professional | 53 · Discontinued | $1.32 | $1.32 | $2.04 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 90 · Outside lab | $7.94 | $7.94 | $7.94 |
Where New York sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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· 42nd of 51
$9.55
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.