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 $9.33 Median $10.23 Typical High $29.51 | Facility | None | $9.33 | $10.23 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $16.98 | Professional | None | $8.91 | $10.23 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $31.62 | Facility | None | $12.02 | $12.02 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $31.62 | Professional | None | $5.89 | $9.33 | $31.62 |
CDPHP Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $26.30 Typical High $131.83 | Facility | None | $11.75 | $26.30 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $16.98 Typical High $81.28 | Professional | None | $9.55 | $16.98 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $26.92 | Facility | None | $10.00 | $15.14 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $23.44 | Professional | None | $5.62 | $7.24 | $23.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $13.49 | Professional | None | $6.92 | $11.48 | $13.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.55 Median $30.20 Typical High $57.54 | Facility | None | $9.55 | $30.20 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $257.04 | Facility | None | $12.02 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $50.12 | Professional | None | $9.77 | $9.77 | $50.12 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $15.14 | Facility | None | $10.96 | $12.02 | $15.14 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $18.20 | Professional | None | $5.01 | $7.76 | $18.20 |
Univera Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $29.51 | Facility | None | $6.92 | $6.92 | $29.51 |
Univera Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $13.80 | Professional | None | $6.92 | $11.48 | $13.80 |
4 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 $4.47 Median $4.47 Typical High $5.13 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.04 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.04 |
Emblem Health Setting Facility Modifier QW · Waived lab test Typical Low $12.02 Median $18.20 Typical High $26.92 | Facility | QW · Waived lab test | $12.02 | $18.20 | $26.92 |
United Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | QW · Waived lab test | $7.08 | $7.08 | $7.41 |
Where New York sits
The same service costs 4.0 times more in Alaska than in Georgia. 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· 41st of 51
$10.23
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.