How much rates vary
Facilitymedian $204 · 10th to 90th $170 to $363Professionalmedian $200 · 10th to 90th $166 to $251
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 $169.82 Median $169.82 Typical High $524.81 | Facility | None | $169.82 | $169.82 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | None | $169.82 | $169.82 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Facility | None | $165.96 | $165.96 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
CDPHP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $831.76 | Facility | None | $199.53 | $218.78 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,047.13 | Professional | None | $218.78 | $218.78 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $436.52 | Facility | None | $162.18 | $234.42 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $263.03 | Professional | None | $162.18 | $229.09 | $263.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Excellus BCBS Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | None | $165.96 | $204.17 | $204.17 |
MVP Health Care Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $407.38 | Facility | None | $208.93 | $208.93 | $407.38 |
MVP Health Care Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $199.53 | Professional | None | $100.00 | $100.00 | $199.53 |
United Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $234.42 | Facility | None | $199.53 | $213.80 | $234.42 |
United Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | None | $165.96 | $194.98 | $234.42 |
Univera Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $213.80 | Facility | None | $173.78 | $204.17 | $213.80 |
Univera Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $245.47 | Professional | None | $165.96 | $204.17 | $245.47 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
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 1.8 times more in Arizona than in Alabama. 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
$200
AZ $295AL $162
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.