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 $28.18 Median $34.67 Typical High $95.50 | Facility | None | $28.18 | $34.67 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Facility | None | $33.11 | $33.11 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
CDPHP Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $41.69 Typical High $389.05 | Facility | None | $30.90 | $41.69 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $158.49 | Professional | None | $28.18 | $28.18 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $60.26 | Facility | None | $26.92 | $32.36 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | None | $26.30 | $29.51 | $29.51 |
Excellus BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Facility | None | $33.11 | $33.11 | $33.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None | $33.11 | $33.11 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $151.36 | Facility | None | $70.79 | $70.79 | $151.36 |
MVP Health Care Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $371.54 | Professional | None | $37.15 | $64.57 | $371.54 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $85.11 | Professional | None | $33.11 | $43.65 | $85.11 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Facility | None | $33.11 | $33.11 | $38.90 |
Univera Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $302.00 | Professional | None | $33.11 | $33.11 | $302.00 |
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 Facility Modifier JW · Drug discarded + JZ · No drug discarded Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | JW · Drug discarded + JZ · No drug discarded | $33.11 | $33.11 | $33.11 |
Where New York sits
The same service costs 6.3 times more in Oklahoma than in Wyoming. 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· 27th of 51
$33.11
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.