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 $12.88 Typical High $45.71 | Facility | None | $4.37 | $12.88 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $13.80 | Professional | None | $4.37 | $4.37 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $39.81 | Facility | None | $15.14 | $15.14 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $30.90 | Professional | None | $6.61 | $8.32 | $30.90 |
CDPHP Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $33.11 Typical High $63.10 | Facility | None | $14.79 | $33.11 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $20.42 Typical High $91.20 | Professional | None | $10.72 | $20.42 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $15.14 Typical High $33.88 | Facility | None | $7.59 | $15.14 | $33.88 |
Emblem Health Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $29.51 | Professional | None | $7.08 | $9.12 | $29.51 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $16.60 | Professional | None | $10.00 | $14.45 | $16.60 |
Highmark BCBS Setting Facility Modifier None Typical Low $27.54 Median $38.02 Typical High $75.86 | Facility | None | $27.54 | $38.02 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $27.54 Typical High $257.04 | Facility | None | $13.80 | $27.54 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $31.62 | Professional | None | $5.50 | $5.50 | $31.62 |
United Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $19.05 | Facility | None | $13.80 | $15.14 | $19.05 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.59 Typical High $22.91 | Professional | None | $6.46 | $7.59 | $22.91 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $17.38 Typical High $37.15 | Facility | None | $10.00 | $17.38 | $37.15 |
Univera Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $16.98 | Professional | None | $9.12 | $14.45 | $16.98 |
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 $6.46 | Professional | 52 · Reduced service | $2.14 | $2.14 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $2.57 | Professional | 53 · Discontinued | $0.85 | $0.85 | $2.57 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 90 · Outside lab | $10.23 | $10.23 | $10.23 |
Where New York sits
The same service costs 3.3 times more in South Carolina 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· 48th of 51
$11.75
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.