How much rates vary
Facilitymedian $17 · 10th to 90th $13 to $43Professionalmedian $14 · 10th to 90th $7 to $30
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 $7.59 Median $14.13 Typical High $40.74 | Facility | None | $7.59 | $14.13 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $30.90 | Professional | None | $6.46 | $12.88 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $42.66 | Facility | None | $16.60 | $16.60 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $33.88 | Professional | None | $6.61 | $10.00 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $38.02 Typical High $95.50 | Facility | None | $16.22 | $38.02 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $21.38 Typical High $81.28 | Professional | None | $9.55 | $21.38 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $37.15 | Facility | None | $14.79 | $21.38 | $37.15 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $16.60 | Professional | None | $8.51 | $10.00 | $16.60 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $18.62 | Professional | None | $10.96 | $15.14 | $18.62 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $257.04 | Facility | None | $13.80 | $29.51 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $33.88 | Professional | None | $10.72 | $10.72 | $33.88 |
United Setting Facility Modifier None Typical Low $14.79 Median $16.60 Typical High $20.89 | Facility | None | $14.79 | $16.60 | $20.89 |
United Setting Professional Modifier None Typical Low $7.41 Median $14.13 Typical High $21.38 | Professional | None | $7.41 | $14.13 | $21.38 |
Univera Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $28.84 | Facility | None | $10.96 | $14.79 | $28.84 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $18.62 | Professional | None | $10.96 | $15.14 | $18.62 |
6 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 $2.82 | Professional | 53 · Discontinued | $1.29 | $1.29 | $2.82 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $16.60 Median $24.55 Typical High $37.15 | Facility | QW · Waived lab test | $16.60 | $24.55 | $37.15 |
Highmark BCBS Setting Facility Modifier QW · Waived lab test Typical Low $12.02 Median $40.74 Typical High $43.65 | Facility | QW · Waived lab test | $12.02 | $40.74 | $43.65 |
Highmark BCBS Setting Professional Modifier 24 · Unrelated visit after surgery + 25 · Same-day visit + 59 · Distinct service + QW · Waived lab test Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 24 · Unrelated visit after surgery + 25 · Same-day visit + 59 · Distinct service + QW · Waived lab test | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $7.08 Typical High $7.08 | Professional | QW · Waived lab test | $5.37 | $7.08 | $7.08 |
Where New York sits
The same service costs 3.2 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· 47th of 51
$14.13
AK $37.15NJ $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.