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 $7.08 Median $14.13 Typical High $41.69 | Facility | None | $7.08 | $14.13 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $12.30 Typical High $28.84 | Professional | None | $6.46 | $12.30 | $28.84 |
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 $6.76 Median $10.23 Typical High $33.88 | Professional | None | $6.76 | $10.23 | $33.88 |
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 $16.22 Median $42.66 Typical High $95.50 | Facility | None | $16.22 | $42.66 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $81.28 | Professional | None | $9.55 | $20.42 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $16.98 Typical High $38.02 | Facility | None | $8.51 | $16.98 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $16.98 | Professional | None | $8.51 | $10.00 | $16.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.25 Median $12.02 Typical High $18.62 | Professional | None | $5.25 | $12.02 | $18.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
MVP Health Care Setting Facility Modifier None Typical Low $11.22 Median $21.88 Typical High $257.04 | Facility | None | $11.22 | $21.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $34.67 | Professional | None | $9.33 | $9.33 | $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 $9.55 Typical High $25.12 | Professional | None | $7.08 | $9.55 | $25.12 |
Univera Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $28.84 | Facility | None | $5.25 | $5.25 | $28.84 |
Univera Setting Professional Modifier None Typical Low $5.25 Median $12.02 Typical High $19.05 | Professional | None | $5.25 | $12.02 | $19.05 |
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 $3.24 Median $3.24 Typical High $7.08 | Professional | 52 · Reduced service | $3.24 | $3.24 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $2.88 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.88 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $25.12 Typical High $38.02 | Facility | QW · Waived lab test | $16.98 | $25.12 | $38.02 |
Where New York sits
The same service costs 3.6 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· 48th of 51
$11.48
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.