How much rates vary
Facilitymedian $21 · 10th to 90th $20 to $40Professionalmedian $21 · 10th to 90th $20 to $27
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 $19.95 Median $19.95 Typical High $35.48 | Facility | None | $19.95 | $19.95 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | None | $19.95 | $19.95 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Facility | None | $19.95 | $19.95 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | None | $20.89 | $20.89 | $23.44 |
CDPHP Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $85.11 | Facility | None | $20.42 | $20.42 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $104.71 | Professional | None | $21.88 | $21.88 | $104.71 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $23.44 Typical High $47.86 | Facility | None | $0.10 | $23.44 | $47.86 |
Emblem Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | None | $20.89 | $20.89 | $22.39 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $25.70 | Facility | None | $23.44 | $23.44 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
MVP Health Care Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.44 | Professional | None | $16.98 | $16.98 | $23.44 |
United Setting Facility Modifier None Typical Low $20.42 Median $21.38 Typical High $23.99 | Facility | None | $20.42 | $21.38 | $23.99 |
United Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $33.88 | Professional | None | $22.39 | $26.30 | $33.88 |
Univera Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Facility | None | $20.89 | $20.89 | $21.88 |
Univera Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | None | $20.89 | $20.89 | $22.39 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $2.00 |
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 1.9 times more in Alabama than in Rhode Island. 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· 50th of 51
$20.89
AL $38.90RI $19.95
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.