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 $4.37 Median $8.71 Typical High $25.70 | Facility | None | $4.37 | $8.71 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.37 Typical High $9.12 | Professional | None | $4.37 | $5.37 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $26.30 | Facility | None | $10.23 | $10.23 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $22.39 | Professional | None | $5.01 | $7.41 | $22.39 |
CDPHP Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $63.10 | Facility | None | $10.00 | $22.39 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $67.61 | Professional | None | $7.08 | $14.45 | $67.61 |
Emblem Health Setting Facility Modifier None Typical Low $8.91 Median $13.18 Typical High $22.91 | Facility | None | $8.91 | $13.18 | $22.91 |
Emblem Health Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $19.95 | Professional | None | $4.79 | $7.08 | $19.95 |
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 $10.23 Typical High $11.48 | Professional | None | $8.13 | $10.23 | $11.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.91 Median $25.70 Typical High $46.77 | Facility | None | $8.91 | $25.70 | $46.77 |
MVP Health Care Setting Facility Modifier None Typical Low $10.47 Median $18.20 Typical High $257.04 | Facility | None | $10.47 | $18.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $20.89 | Professional | None | $8.13 | $8.13 | $20.89 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.23 Typical High $12.59 | Facility | None | $9.12 | $10.23 | $12.59 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $15.14 | Professional | None | $4.27 | $6.17 | $15.14 |
Univera Setting Facility Modifier None Typical Low $6.61 Median $8.13 Typical High $19.95 | Facility | None | $6.61 | $8.13 | $19.95 |
Univera Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $12.30 | Professional | None | $6.61 | $10.23 | $12.30 |
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 $2.14 Median $2.14 Typical High $4.37 | Professional | 52 · Reduced service | $2.14 | $2.14 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.74 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.74 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 90 · Outside lab | $6.76 | $6.76 | $6.76 |
Where New York sits
The same service costs 3.0 times more in Alaska 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· 39th of 51
$8.71
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.