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 $10.72 Median $14.79 Typical High $51.29 | Facility | None | $10.72 | $14.79 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.45 | Professional | None | $10.72 | $10.72 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $43.65 | Facility | None | $16.98 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $16.22 Typical High $40.74 | Professional | None | $7.08 | $16.22 | $40.74 |
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 $35.48 Typical High $47.86 | Facility | None | $16.60 | $35.48 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $81.28 | Professional | None | $10.72 | $21.38 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $19.50 Typical High $38.02 | Facility | None | $12.02 | $19.50 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $33.11 | Professional | None | $7.94 | $10.23 | $33.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $22.39 | Professional | None | $10.96 | $16.98 | $22.39 |
Highmark BCBS Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $1,148.15 | Facility | None | $42.66 | $46.77 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $257.04 | Facility | None | $13.80 | $30.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $34.67 | Professional | None | $11.48 | $11.48 | $34.67 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.89 | Facility | None | $15.14 | $16.98 | $20.89 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $25.12 | Professional | None | $7.08 | $10.23 | $25.12 |
Univera Setting Facility Modifier None Typical Low $10.96 Median $19.50 Typical High $39.81 | Facility | None | $10.96 | $19.50 | $39.81 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $22.91 | Professional | None | $10.96 | $16.98 | $22.91 |
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 $5.37 Median $5.37 Typical High $7.24 | Professional | 52 · Reduced service | $5.37 | $5.37 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.88 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.88 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 90 · Outside lab | $11.22 | $11.22 | $11.22 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 34th of 51
$14.79
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.