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 $10.23 Median $15.14 Typical High $56.23 | Facility | None | $10.23 | $15.14 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | None | $10.23 | $10.23 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $47.86 | Facility | None | $18.20 | $18.20 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $39.81 | Professional | None | $7.24 | $11.75 | $39.81 |
CDPHP Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $69.18 | Facility | None | $17.78 | $38.90 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $89.13 | Professional | None | $9.77 | $9.77 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $7.94 Median $18.20 Typical High $40.74 | Facility | None | $7.94 | $18.20 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $52.48 | Professional | None | $8.51 | $10.96 | $52.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.13 Median $17.38 Typical High $20.42 | Professional | None | $8.13 | $17.38 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Facility | None | $20.42 | $20.42 | $24.55 |
MVP Health Care Setting Facility Modifier None Typical Low $18.20 Median $33.11 Typical High $95.50 | Facility | None | $18.20 | $33.11 | $95.50 |
MVP Health Care Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $38.02 | Professional | None | $12.02 | $12.02 | $38.02 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $22.91 | Facility | None | $16.60 | $18.20 | $22.91 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $27.54 | Professional | None | $7.76 | $10.72 | $27.54 |
Univera Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Facility | None | $15.49 | $15.49 | $20.89 |
Univera Setting Professional Modifier None Typical Low $8.13 Median $18.20 Typical High $20.89 | Professional | None | $8.13 | $18.20 | $20.89 |
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 $18.20 Median $27.54 Typical High $61.66 | Facility | QW · Waived lab test | $18.20 | $27.54 | $61.66 |
United Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $5.75 Typical High $8.32 | Professional | QW · Waived lab test | $5.75 | $5.75 | $8.32 |
Where New York sits
The same service costs 4.0 times more in Kansas 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· 29th of 51
$15.49
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.