How much rates vary
Facilitymedian $48 · 10th to 90th $38 to $66Professionalmedian $47 · 10th to 90th $38 to $55
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 $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | None | $40.74 | $40.74 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | None | $46.77 | $46.77 | $47.86 |
CDPHP Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $85.11 | Facility | None | $30.90 | $53.70 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $165.96 | Professional | None | $51.29 | $51.29 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $87.10 | Facility | None | $38.02 | $50.12 | $87.10 |
Emblem Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | None | $40.74 | $40.74 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | None | $38.90 | $47.86 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $40.74 Median $42.66 Typical High $48.98 | Facility | None | $40.74 | $42.66 | $48.98 |
Highmark BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
MVP Health Care Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $91.20 | Facility | None | $46.77 | $46.77 | $91.20 |
MVP Health Care Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $54.95 | Professional | None | $24.55 | $24.55 | $54.95 |
United Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | None | $45.71 | $52.48 | $64.57 |
Univera Setting Facility Modifier None Typical Low $19.95 Median $47.86 Typical High $47.86 | Facility | None | $19.95 | $47.86 | $47.86 |
Univera Setting Professional Modifier None Typical Low $19.95 Median $47.86 Typical High $57.54 | Professional | None | $19.95 | $47.86 | $57.54 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
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 6.0 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· 29th of 51
$46.77
AZ $57.54RI $9.55
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.