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 $97.72 Median $123.03 Typical High $128.82 | Facility | None | $97.72 | $123.03 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | None | $97.72 | $97.72 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Facility | None | $97.72 | $97.72 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | None | $89.13 | $102.33 | $102.33 |
CDPHP Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $223.87 | Facility | None | $61.66 | $95.50 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $467.74 | Professional | None | $95.50 | $95.50 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $263.03 | Facility | None | $109.65 | $151.36 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | None | $114.82 | $114.82 | $138.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None | $91.20 | $91.20 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $112.20 | Facility | None | $48.98 | $91.20 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $173.78 | Facility | None | $107.15 | $107.15 | $173.78 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $102.33 | Facility | None | $87.10 | $93.33 | $102.33 |
United Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $117.49 | Professional | None | $93.33 | $102.33 | $117.49 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
Univera Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None | $91.20 | $91.20 | $97.72 |
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 |
|---|---|---|---|---|---|
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 3.1 times more in Colorado 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· 20th of 51
$102
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.