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 $6.46 Median $16.98 Typical High $66.07 | Facility | None | $6.46 | $16.98 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $18.62 | Professional | None | $6.46 | $6.46 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $56.23 | Facility | None | $21.88 | $21.88 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $12.59 Typical High $40.74 | Professional | None | $7.76 | $12.59 | $40.74 |
CDPHP Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $45.71 Typical High $95.50 | Facility | None | $21.38 | $45.71 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $24.55 Typical High $104.71 | Professional | None | $9.55 | $24.55 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $8.91 Median $21.88 Typical High $48.98 | Facility | None | $8.91 | $21.88 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $42.66 | Professional | None | $10.23 | $13.49 | $42.66 |
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 $11.48 Median $17.38 Typical High $23.99 | Professional | None | $11.48 | $17.38 | $23.99 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $31.62 Typical High $257.04 | Facility | None | $13.80 | $31.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $44.67 | Professional | None | $10.23 | $10.47 | $44.67 |
United Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $26.92 | Facility | None | $19.50 | $21.88 | $26.92 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $32.36 | Professional | None | $9.12 | $12.02 | $32.36 |
Univera Setting Facility Modifier None Typical Low $14.13 Median $14.79 Typical High $25.12 | Facility | None | $14.13 | $14.79 | $25.12 |
Univera Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $23.99 | Professional | None | $12.02 | $15.49 | $23.99 |
2 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 |
|---|---|---|---|---|---|
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $21.88 Median $32.36 Typical High $48.98 | Facility | QW · Waived lab test | $21.88 | $32.36 | $48.98 |
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 4.7 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· 43rd of 51
$14.79
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.