How much rates vary
Facilitymedian $76 · 10th to 90th $72 to $151Professionalmedian $74 · 10th to 90th $63 to $87
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 $11.75 Median $75.86 Typical High $218.78 | Facility | None | $11.75 | $75.86 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | None | $75.86 | $75.86 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $77.62 | Facility | None | $75.86 | $75.86 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | None | $57.54 | $74.13 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $309.03 | Facility | None | $72.44 | $81.28 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $389.05 | Professional | None | $81.28 | $81.28 | $389.05 |
Emblem Health Setting Facility Modifier None Typical Low $70.79 Median $91.20 Typical High $158.49 | Facility | None | $70.79 | $91.20 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $97.72 | Professional | None | $70.79 | $85.11 | $97.72 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $151.36 | Facility | None | $95.50 | $95.50 | $151.36 |
MVP Health Care Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $95.50 | Professional | None | $26.92 | $26.92 | $95.50 |
United Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $87.10 | Facility | None | $74.13 | $77.62 | $87.10 |
United Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | None | $72.44 | $85.11 | $97.72 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $79.43 | Facility | None | $61.66 | $75.86 | $79.43 |
Univera Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $91.20 | Professional | None | $61.66 | $75.86 | $91.20 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
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 3.0 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· 45th of 51
$75.86
AZ $117AL $39.81
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.