How much rates vary
Facilitymedian $9 · 10th to 90th $7 to $25Professionalmedian $8 · 10th to 90th $4 to $20
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 $9.33 Typical High $22.39 | Facility | None | $6.61 | $9.33 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $11.75 | Professional | None | $6.61 | $6.61 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $22.91 | Facility | None | $8.91 | $8.91 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $7.08 Typical High $23.44 | Professional | None | $4.37 | $7.08 | $23.44 |
CDPHP Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.05 Typical High $95.50 | Facility | None | $8.71 | $19.05 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $12.02 Typical High $58.88 | Professional | None | $6.17 | $12.02 | $58.88 |
Emblem Health Setting Facility Modifier None Typical Low $4.47 Median $9.33 Typical High $19.95 | Facility | None | $4.47 | $9.33 | $19.95 |
Emblem Health Setting Professional Modifier None Typical Low $5.25 Median $10.23 Typical High $11.75 | Professional | None | $5.25 | $10.23 | $11.75 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $12.59 | Professional | None | $7.59 | $8.91 | $12.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $43.65 | Facility | None | $22.39 | $22.39 | $43.65 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $257.04 | Facility | None | $10.96 | $16.60 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $18.20 | Professional | None | $7.08 | $7.08 | $18.20 |
United Setting Facility Modifier None Typical Low $7.94 Median $8.91 Typical High $11.22 | Facility | None | $7.94 | $8.91 | $11.22 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.50 Typical High $13.80 | Professional | None | $3.72 | $5.50 | $13.80 |
Univera Setting Facility Modifier None Typical Low $5.89 Median $8.91 Typical High $22.39 | Facility | None | $5.89 | $8.91 | $22.39 |
Univera Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $14.13 | Professional | None | $5.89 | $8.91 | $14.13 |
5 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 $3.80 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.51 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.51 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $8.91 Median $13.49 Typical High $19.95 | Facility | QW · Waived lab test | $8.91 | $13.49 | $19.95 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 59 · Distinct service | $7.76 | $7.76 | $7.76 |
United Setting Professional Modifier QW · Waived lab test Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | QW · Waived lab test | $5.50 | $5.50 | $5.50 |
Where New York sits
The same service costs 4.3 times more in Kansas 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· 30th of 51
$8.91
KS $28.18MD $6.61
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.