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 $63.10 Median $74.13 Typical High $213.80 | Facility | None | $63.10 | $74.13 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $100.00 | Professional | None | $63.10 | $63.10 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $218.78 | Facility | None | $85.11 | $85.11 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $239.88 | Professional | None | $41.69 | $85.11 | $239.88 |
CDPHP Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $912.01 | Facility | None | $102.33 | $218.78 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $316.23 | Professional | None | $57.54 | $67.61 | $316.23 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $85.11 Typical High $190.55 | Facility | None | $26.30 | $85.11 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $112.20 | Professional | None | $60.26 | $72.44 | $112.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $112.20 | Professional | None | $72.44 | $85.11 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $43.65 Median $173.78 Typical High $398.11 | Facility | None | $43.65 | $173.78 | $398.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $154.88 Typical High $257.04 | Facility | None | $13.80 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $173.78 | Professional | None | $67.61 | $75.86 | $173.78 |
United Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $107.15 | Facility | None | $75.86 | $85.11 | $107.15 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $128.82 | Professional | None | $35.48 | $51.29 | $128.82 |
Univera Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $213.80 | Facility | None | $56.23 | $85.11 | $213.80 |
Univera Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $109.65 | Professional | None | $72.44 | $85.11 | $109.65 |
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 $31.62 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.79 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 90 · Outside lab | $56.23 | $56.23 | $56.23 |
Where New York sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$75.86
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.