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 $19.95 Median $22.39 Typical High $64.57 | Facility | None | $19.95 | $22.39 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $34.67 | Professional | None | $19.50 | $19.50 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $67.61 | Facility | None | $26.30 | $26.30 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $26.30 Typical High $75.86 | Professional | None | $12.88 | $26.30 | $75.86 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $281.84 | Facility | None | $25.70 | $56.23 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $35.48 Typical High $173.78 | Professional | None | $18.20 | $35.48 | $173.78 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $34.67 Typical High $64.57 | Facility | None | $26.30 | $34.67 | $64.57 |
Emblem Health Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $50.12 | Professional | None | $12.30 | $18.20 | $50.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $31.62 | Professional | None | $22.39 | $26.30 | $31.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $46.77 Typical High $257.04 | Facility | None | $13.80 | $46.77 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $53.70 | Professional | None | $20.89 | $20.89 | $53.70 |
United Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $32.36 | Facility | None | $23.44 | $26.30 | $32.36 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $38.90 | Professional | None | $10.96 | $16.60 | $38.90 |
Univera Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $66.07 | Facility | None | $16.98 | $26.30 | $66.07 |
Univera Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $33.88 | Professional | None | $16.98 | $26.30 | $33.88 |
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 $9.77 Median $9.77 Typical High $10.96 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.47 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.47 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 90 · Outside lab | $17.38 | $17.38 | $17.38 |
Where New York sits
The same service costs 6.0 times more in Alaska than in Alabama. 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· 26th of 51
$26.30
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.