How much rates vary
Facilitymedian $457 · 10th to 90th $316 to $575Professionalmedian $447 · 10th to 90th $331 to $537
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 $331.13 Median $331.13 Typical High $380.19 | Facility | None | $331.13 | $331.13 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $489.78 | Professional | None | $331.13 | $331.13 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $323.59 | Facility | None | $316.23 | $316.23 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Professional | None | $436.52 | $446.68 | $446.68 |
CDPHP Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $758.58 | Facility | None | $363.08 | $436.52 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,348.96 | Professional | None | $501.19 | $501.19 | $1,348.96 |
Emblem Health Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $1,000.00 | Facility | None | $316.23 | $512.86 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $489.78 | Professional | None | $316.23 | $331.13 | $489.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $457.09 | Professional | None | $316.23 | $457.09 | $457.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $891.25 | Facility | None | $309.03 | $436.52 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $954.99 | Facility | None | $398.11 | $398.11 | $954.99 |
MVP Health Care Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $446.68 | Professional | None | $309.03 | $309.03 | $446.68 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $537.03 | Professional | None | $331.13 | $371.54 | $537.03 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $457.09 Typical High $457.09 | Facility | None | $223.87 | $457.09 | $457.09 |
Univera Setting Professional Modifier None Typical Low $223.87 Median $457.09 Typical High $501.19 | Professional | None | $223.87 | $457.09 | $501.19 |
5 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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
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 3.5 times more in Minnesota 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· 23rd of 51
$447
MN $562AL $162
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.