How much rates vary
Facilitymedian $19 · 10th to 90th $19 to $40Professionalmedian $20 · 10th to 90th $19 to $25
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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | None | $18.62 | $18.62 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $19.05 | Facility | None | $18.62 | $18.62 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
CDPHP Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $20.42 Typical High $85.11 | Facility | None | $19.95 | $20.42 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $100.00 | Professional | None | $20.42 | $20.42 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $44.67 | Facility | None | $19.50 | $25.70 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | None | $19.50 | $19.50 | $20.89 |
MVP Health Care Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
MVP Health Care Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | None | $16.98 | $16.98 | $22.39 |
United Setting Facility Modifier None Typical Low $19.50 Median $20.89 Typical High $22.91 | Facility | None | $19.50 | $20.89 | $22.91 |
United Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $31.62 | Professional | None | $20.89 | $24.55 | $31.62 |
Univera Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $20.42 | Facility | None | $19.50 | $19.50 | $20.42 |
Univera Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | None | $19.50 | $19.50 | $20.89 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
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 2.1 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
$19.95
AL $38.90RI $18.62
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.