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 $12.88 Typical High $36.31 | Facility | None | $10.72 | $12.88 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $16.98 | Professional | None | $10.72 | $10.72 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $37.15 | Facility | None | $14.45 | $14.45 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $41.69 | Professional | None | $7.08 | $14.45 | $41.69 |
CDPHP Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $154.88 | Facility | None | $14.13 | $30.90 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $20.42 Typical High $69.18 | Professional | None | $10.00 | $20.42 | $69.18 |
Emblem Health Setting Facility Modifier None Typical Low $6.76 Median $14.45 Typical High $32.36 | Facility | None | $6.76 | $14.45 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $28.18 | Professional | None | $6.76 | $10.00 | $28.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $16.22 | Professional | None | $8.32 | $14.45 | $16.22 |
Highmark BCBS Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $57.54 | Facility | None | $40.74 | $52.48 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $257.04 | Facility | None | $13.80 | $25.70 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $29.51 | Professional | None | $11.48 | $11.48 | $29.51 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $17.78 | Facility | None | $12.88 | $14.45 | $17.78 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $21.38 | Professional | None | $6.03 | $8.71 | $21.38 |
Univera Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $23.99 | Facility | None | $9.33 | $14.45 | $23.99 |
Univera Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $18.62 | Professional | None | $8.51 | $14.45 | $18.62 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 90 · Outside lab | $9.55 | $9.55 | $9.55 |
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· 29th of 51
$14.13
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.