How much rates vary
Facilitymedian $32 · 10th to 90th $31 to $39Professionalmedian $32 · 10th to 90th $31 to $37
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 $32.36 Median $32.36 Typical High $34.67 | Facility | None | $32.36 | $32.36 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $117.49 | Facility | None | $30.90 | $34.67 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $162.18 | Professional | None | $34.67 | $34.67 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $50.12 | Facility | None | $30.90 | $30.90 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | None | $30.90 | $30.90 | $34.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | None | $32.36 | $32.36 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $52.48 | Facility | None | $29.51 | $39.81 | $52.48 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
MVP Health Care Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $47.86 | Professional | None | $30.90 | $36.31 | $47.86 |
Univera Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $33.88 | Facility | None | $21.88 | $32.36 | $33.88 |
Univera Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $38.90 | Professional | None | $21.88 | $32.36 | $38.90 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
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 5.4 times more in Arizona 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· 47th of 51
$32.36
AZ $45.71RI $8.51
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.