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 $309.03 Median $354.81 Typical High $1,047.13 | Facility | None | $309.03 | $354.81 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $562.34 | Professional | None | $309.03 | $309.03 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,071.52 | Facility | None | $416.87 | $416.87 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $467.74 Typical High $1,174.90 | Professional | None | $204.17 | $467.74 | $1,174.90 |
CDPHP Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $891.25 Typical High $1,202.26 | Facility | None | $407.38 | $891.25 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $707.95 Typical High $1,513.56 | Professional | None | $316.23 | $707.95 | $1,513.56 |
Emblem Health Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $933.25 | Facility | None | $371.54 | $537.03 | $933.25 |
Emblem Health Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $602.56 | Professional | None | $295.12 | $354.81 | $602.56 |
Excellus BCBS Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $575.44 | Professional | None | $346.74 | $416.87 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $676.08 Typical High $1,445.44 | Facility | None | $30.90 | $676.08 | $1,445.44 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $416.87 Typical High $831.76 | Facility | None | $13.80 | $416.87 | $831.76 |
MVP Health Care Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $851.14 | Professional | None | $331.13 | $426.58 | $851.14 |
United Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $524.81 | Facility | None | $371.54 | $416.87 | $524.81 |
United Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $630.96 | Professional | None | $173.78 | $251.19 | $630.96 |
Univera Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $758.58 | Facility | None | $275.42 | $478.63 | $758.58 |
Univera Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $467.74 | Professional | None | $275.42 | $416.87 | $467.74 |
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 $154.88 Median $154.88 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | 53 · Discontinued | $61.66 | $61.66 | $72.44 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 90 · Outside lab | $275.42 | $275.42 | $275.42 |
Where New York sits
The same service costs 5.4 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· 31st of 51
$398
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.