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 $31.62 Median $37.15 Typical High $107.15 | Facility | None | $31.62 | $37.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | None | $31.62 | $31.62 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $112.20 | Facility | None | $42.66 | $42.66 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $120.23 | Professional | None | $21.38 | $42.66 | $120.23 |
CDPHP Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $467.74 | Facility | None | $51.29 | $109.65 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $57.54 Typical High $158.49 | Professional | None | $33.88 | $57.54 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $95.50 | Facility | None | $26.92 | $43.65 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $57.54 | Professional | None | $28.84 | $36.31 | $57.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $47.86 | Professional | None | $28.84 | $40.74 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $93.33 Typical High $194.98 | Facility | None | $30.90 | $93.33 | $194.98 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $61.66 Typical High $257.04 | Facility | None | $13.80 | $61.66 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $89.13 | Professional | None | $34.67 | $79.43 | $89.13 |
United Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $53.70 | Facility | None | $38.90 | $42.66 | $53.70 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $72.44 | Professional | None | $17.78 | $25.70 | $72.44 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $28.84 Typical High $109.65 | Facility | None | $28.18 | $28.84 | $109.65 |
Univera Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $46.77 | Professional | None | $28.84 | $40.74 | $46.77 |
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 $15.85 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.41 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 90 · Outside lab | $28.84 | $28.84 | $28.84 |
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· 38th of 51
$38.90
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.