How much rates vary
Facilitymedian $34 · 10th to 90th $7 to $93Professionalmedian $27 · 10th to 90th $15 to $76
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 $25.12 Median $28.84 Typical High $85.11 | Facility | None | $25.12 | $28.84 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | None | $25.12 | $25.12 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $87.10 | Facility | None | $33.88 | $33.88 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $26.92 Typical High $93.33 | Professional | None | $16.60 | $26.92 | $93.33 |
CDPHP Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $74.13 Typical High $363.08 | Facility | None | $33.11 | $74.13 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $302.00 | Professional | None | $23.44 | $48.98 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $30.20 Median $43.65 Typical High $75.86 | Facility | None | $30.20 | $43.65 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $66.07 | Professional | None | $15.85 | $20.42 | $66.07 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.76 Median $32.36 Typical High $38.02 | Professional | None | $6.76 | $32.36 | $38.02 |
Highmark BCBS Setting Facility Modifier None Typical Low $2.95 Median $67.61 Typical High $169.82 | Facility | None | $2.95 | $67.61 | $169.82 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $43.65 Typical High $257.04 | Facility | None | $13.80 | $43.65 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $69.18 | Professional | None | $26.92 | $26.92 | $69.18 |
United Setting Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $42.66 | Facility | None | $30.20 | $33.88 | $42.66 |
United Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $51.29 | Professional | None | $14.13 | $21.88 | $51.29 |
Univera Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $85.11 | Facility | None | $6.76 | $6.76 | $85.11 |
Univera Setting Professional Modifier None Typical Low $6.76 Median $32.36 Typical High $39.81 | Professional | None | $6.76 | $32.36 | $39.81 |
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 $12.59 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.75 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.75 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 90 · Outside lab | $15.14 | $15.14 | $15.14 |
Fidelis Setting Professional Modifier 90 · Outside lab Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 90 · Outside lab | $3.39 | $3.39 | $3.39 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 90 · Outside lab | $22.39 | $22.39 | $23.99 |
Where New York sits
The same service costs 3.7 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· 35th of 51
$28.84
AK $93.33MD $25.12
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.