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 $114.82 Median $208.93 Typical High $1,096.48 | Facility | None | $114.82 | $208.93 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $213.80 | Professional | None | $114.82 | $123.03 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $645.65 | Facility | None | $245.47 | $245.47 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $177.83 Typical High $562.34 | Professional | None | $31.62 | $177.83 | $562.34 |
CDPHP Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $524.81 Typical High $707.95 | Facility | None | $213.80 | $524.81 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $1,202.26 | Professional | None | $60.26 | $60.26 | $1,202.26 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $549.54 | Facility | None | $141.25 | $245.47 | $549.54 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $707.95 | Professional | None | $114.82 | $147.91 | $707.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $269.15 | Professional | None | $134.90 | $234.42 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
MVP Health Care Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $1,288.25 | Facility | None | $190.55 | $446.68 | $1,288.25 |
MVP Health Care Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $512.86 | Professional | None | $162.18 | $162.18 | $512.86 |
United Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $309.03 | Facility | None | $223.87 | $245.47 | $309.03 |
United Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $371.54 | Professional | None | $104.71 | $120.23 | $371.54 |
Univera Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $288.40 | Facility | None | $162.18 | $281.84 | $288.40 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $275.42 | Professional | None | $134.90 | $218.78 | $275.42 |
3 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 $57.54 Median $57.54 Typical High $104.71 | Professional | 52 · Reduced service | $57.54 | $57.54 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $41.69 | Professional | 53 · Discontinued | $22.91 | $22.91 | $41.69 |
Highmark BCBS Setting Professional Modifier 90 · Outside lab Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 90 · Outside lab | $165.96 | $165.96 | $165.96 |
Where New York sits
The same service costs 7.4 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· 31st of 51
$182
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.