How much rates vary
Facilitymedian $18 · 10th to 90th $13 to $51Professionalmedian $14 · 10th to 90th $8 to $38
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 $12.59 Median $14.45 Typical High $42.66 | Facility | None | $12.59 | $14.45 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $20.89 | Professional | None | $12.59 | $12.59 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $44.67 | Facility | None | $16.98 | $16.98 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $44.67 | Professional | None | $8.32 | $13.18 | $44.67 |
CDPHP Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $37.15 Typical High $186.21 | Facility | None | $16.60 | $37.15 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $112.20 | Professional | None | $11.75 | $22.91 | $112.20 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $16.98 Typical High $38.02 | Facility | None | $8.51 | $16.98 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $33.11 | Professional | None | $7.94 | $12.02 | $33.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $20.42 | Professional | None | $10.23 | $16.98 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.75 Median $26.30 Typical High $91.20 | Facility | None | $11.75 | $26.30 | $91.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $12.88 | Professional | None | $10.23 | $11.22 | $12.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $257.04 | Facility | None | $13.80 | $30.90 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $35.48 | Professional | None | $13.80 | $13.80 | $35.48 |
United Setting Facility Modifier None Typical Low $15.49 Median $16.98 Typical High $21.38 | Facility | None | $15.49 | $16.98 | $21.38 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $25.70 | Professional | None | $7.08 | $10.23 | $25.70 |
Univera Setting Facility Modifier None Typical Low $11.22 Median $16.98 Typical High $24.55 | Facility | None | $11.22 | $16.98 | $24.55 |
Univera Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $21.88 | Professional | None | $10.23 | $16.98 | $21.88 |
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 $6.31 Median $6.31 Typical High $7.24 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.88 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.88 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $25.70 Typical High $38.02 | Facility | QW · Waived lab test | $16.98 | $25.70 | $38.02 |
United Setting Professional Modifier QW · Waived lab test Typical Low $6.03 Median $6.03 Typical High $10.47 | Professional | QW · Waived lab test | $6.03 | $6.03 | $10.47 |
Where New York sits
The same service costs 8.1 times more in Vermont than in Indiana. 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· 33rd of 51
$16.22
VT $105IN $12.88
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.