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 $35.48 Median $45.71 Typical High $91.20 | Facility | None | $35.48 | $45.71 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $67.61 | Professional | None | $41.69 | $45.71 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $54.95 | Professional | None | $14.13 | $21.38 | $54.95 |
CDPHP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $51.29 Typical High $95.50 | Facility | None | $23.99 | $51.29 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $40.74 Typical High $169.82 | Professional | None | $22.39 | $40.74 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $79.43 | Facility | None | $35.48 | $45.71 | $79.43 |
Emblem Health Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $69.18 | Professional | None | $16.60 | $21.38 | $69.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $28.18 | Facility | None | $26.92 | $26.92 | $28.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $39.81 | Professional | None | $26.30 | $35.48 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $89.13 | Facility | None | $28.18 | $28.18 | $89.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $58.88 Typical High $257.04 | Facility | None | $13.80 | $58.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $72.44 | Professional | None | $45.71 | $45.71 | $72.44 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $44.67 | Facility | None | $31.62 | $35.48 | $44.67 |
United Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $69.18 | Professional | None | $15.85 | $25.70 | $69.18 |
Univera Setting Facility Modifier None Typical Low $23.44 Median $26.92 Typical High $53.70 | Facility | None | $23.44 | $26.92 | $53.70 |
Univera Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $56.23 | Professional | None | $23.44 | $35.48 | $56.23 |
4 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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $35.48 Median $52.48 Typical High $79.43 | Facility | QW · Waived lab test | $35.48 | $52.48 | $79.43 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service + QW · Waived lab test Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 59 · Distinct service + QW · Waived lab test | $37.15 | $37.15 | $37.15 |
Where New York sits
The same service costs 4.5 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· 45th of 51
$29.51
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.