How much rates vary
Facilitymedian $141 · 10th to 90th $85 to $347Professionalmedian $141 · 10th to 90th $58 to $275
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 $141.25 Median $169.82 Typical High $363.08 | Facility | None | $141.25 | $169.82 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | None | $141.25 | $141.25 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $316.23 | Professional | None | $57.54 | $72.44 | $316.23 |
CDPHP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $302.00 Typical High $512.86 | Facility | None | $138.04 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $354.81 | Professional | None | $93.33 | $194.98 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $186.21 Typical High $323.59 | Facility | None | $141.25 | $186.21 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $190.55 | Professional | None | $85.11 | $120.23 | $190.55 |
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 $93.33 Median $141.25 Typical High $181.97 | Professional | None | $93.33 | $141.25 | $181.97 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $363.08 Typical High $660.69 | Facility | None | $102.33 | $363.08 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $186.21 Typical High $288.40 | Facility | None | $13.80 | $186.21 | $288.40 |
MVP Health Care Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $295.12 | Professional | None | $141.25 | $141.25 | $295.12 |
United Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $177.83 | Facility | None | $128.82 | $141.25 | $177.83 |
United Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $257.04 | Professional | None | $63.10 | $85.11 | $257.04 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $169.82 | Facility | None | $85.11 | $85.11 | $169.82 |
Univera Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $181.97 | Professional | None | $85.11 | $141.25 | $181.97 |
5 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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $141.25 Median $213.80 Typical High $323.59 | Facility | QW · Waived lab test | $141.25 | $213.80 | $323.59 |
Emblem Health Setting Professional Modifier QW · Waived lab test Typical Low $100.00 Median $100.00 Typical High $229.09 | Professional | QW · Waived lab test | $100.00 | $100.00 | $229.09 |
Highmark BCBS Setting Professional Modifier QW · Waived lab test Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | QW · Waived lab test | $147.91 | $147.91 | $147.91 |
Where New York sits
The same service costs 4.3 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· 26th of 51
$141
AK $295AL $69.18
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.