How much rates vary
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 $1.78 Median $1.78 Typical High $1.78 | Facility | None | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.82 | Professional | None | $1.78 | $1.78 | $1.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $4.79 | Professional | None | $1.78 | $1.78 | $4.79 |
CDPHP Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Cigna Setting Facility Modifier None Typical Low $1.91 Median $2.34 Typical High $2.69 | Facility | None | $1.91 | $2.34 | $2.69 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Emblem Health Setting Facility Modifier None Typical Low $1.70 Median $2.14 Typical High $3.80 | Facility | None | $1.70 | $2.14 | $3.80 |
Emblem Health Setting Professional Modifier None Typical Low $1.66 Median $1.95 Typical High $1.95 | Professional | None | $1.66 | $1.95 | $1.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $1.78 Median $1.78 Typical High $1.86 | Facility | None | $1.78 | $1.78 | $1.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.86 | Professional | None | $1.78 | $1.78 | $1.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.00 Median $2.00 Typical High $5.37 | Facility | None | $1.00 | $2.00 | $5.37 |
MVP Health Care Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
MVP Health Care Setting Professional Modifier None Typical Low $1.95 Median $2.14 Typical High $2.29 | Professional | None | $1.95 | $2.14 | $2.29 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.91 Typical High $3.16 | Professional | None | $1.78 | $1.91 | $3.16 |
Univera Setting Facility Modifier None Typical Low $1.78 Median $1.78 Typical High $2.51 | Facility | None | $1.78 | $1.78 | $2.51 |
Univera Setting Professional Modifier None Typical Low $1.78 Median $1.86 Typical High $1.86 | Professional | None | $1.78 | $1.86 | $1.86 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier JW · Drug discarded + JZ · No drug discarded Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | JW · Drug discarded + JZ · No drug discarded | $2.00 | $2.00 | $2.00 |
Where New York sits
The same service costs 3.0 times more in Wyoming than in Washington, DC. 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· 43rd of 51
$1.78
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.