How much rates vary
Facilitymedian $2,399 · 10th to 90th $2,344 to $2,884Professionalmedian $2,399 · 10th to 90th $1,905 to $2,951
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,344.23 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
CDPHP Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,073.80 | Facility | None | $2,238.72 | $2,238.72 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $13,182.57 | Professional | None | $2,691.53 | $2,691.53 | $13,182.57 |
Emblem Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,365.16 | Facility | None | $2,691.53 | $2,691.53 | $4,365.16 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Facility | None | $2,398.83 | $2,398.83 | $2,454.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,398.83 | $2,454.71 |
MVP Health Care Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,884.03 | $3,388.44 |
Univera Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Facility | None | $2,398.83 | $2,398.83 | $2,454.71 |
Univera Setting Professional Modifier None Typical Low $131.83 Median $2,398.83 Typical High $2,454.71 | Professional | None | $131.83 | $2,398.83 | $2,454.71 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Excellus BCBS Setting Facility Modifier SL · State-supplied vaccine Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | SL · State-supplied vaccine | $25.12 | $25.12 | $25.12 |
Univera Setting Facility Modifier SL · State-supplied vaccine Typical Low $25.12 Median $25.12 Typical High $26.30 | Facility | SL · State-supplied vaccine | $25.12 | $25.12 | $26.30 |
Where New York sits
The same service costs 25.1 times more in Arizona than in Montana. 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
$2,399
AZ $3,715MT $148
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.