How much rates vary
Facilitymedian $200 · 10th to 90th $191 to $251Professionalmedian $195 · 10th to 90th $151 to $229
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 $194.98 Median $194.98 Typical High $234.42 | Facility | None | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | None | $194.98 | $194.98 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
CDPHP Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $616.60 | Facility | None | $169.82 | $213.80 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $1,047.13 | Professional | None | $213.80 | $213.80 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $338.84 | Facility | None | $208.93 | $208.93 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $218.78 | Professional | None | $141.25 | $218.78 | $218.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Excellus BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | None | $199.53 | $199.53 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $398.11 | Facility | None | $144.54 | $245.47 | $398.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | None | $239.88 | $239.88 | $245.47 |
MVP Health Care Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
MVP Health Care Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $263.03 | Professional | None | $190.55 | $223.87 | $263.03 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $199.53 Typical High $199.53 | Facility | None | $91.20 | $199.53 | $199.53 |
Univera Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $234.42 | Professional | None | $91.20 | $199.53 | $234.42 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
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 549.5 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· 35th of 51
$195
AZ $275RI $0.50
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.