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 $0.05 Median $0.06 Typical High $0.23 | Facility | None | $0.05 | $0.06 | $0.23 |
Aetna Setting Professional Modifier None Typical Low $0.05 Median $0.06 Typical High $0.08 | Professional | None | $0.05 | $0.06 | $0.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | None | $0.06 | $0.06 | $0.07 |
Cigna Setting Facility Modifier None Typical Low $0.04 Median $0.08 Typical High $0.09 | Facility | None | $0.04 | $0.08 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.49 | Professional | None | $0.06 | $0.06 | $0.49 |
Emblem Health Setting Facility Modifier None Typical Low $0.06 Median $0.08 Typical High $0.14 | Facility | None | $0.06 | $0.08 | $0.14 |
Emblem Health Setting Professional Modifier None Typical Low $0.06 Median $0.07 Typical High $0.45 | Professional | None | $0.06 | $0.07 | $0.45 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Facility | None | $0.08 | $0.08 | $0.08 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.06 Median $0.15 Typical High $0.63 | Facility | None | $0.06 | $0.15 | $0.63 |
MVP Health Care Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $1.26 | Facility | None | $0.10 | $0.10 | $1.26 |
MVP Health Care Setting Professional Modifier None Typical Low $0.06 Median $0.09 Typical High $0.09 | Professional | None | $0.06 | $0.09 | $0.09 |
United Setting Professional Modifier None Typical Low $0.03 Median $0.08 Typical High $0.14 | Professional | None | $0.03 | $0.08 | $0.14 |
Univera Setting Facility Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Facility | None | $0.08 | $0.08 | $0.08 |
Univera Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
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 JZ · No drug discarded Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | JZ · No drug discarded | $0.09 | $0.09 | $0.09 |
Where New York sits
The same service costs 12.0 times more in Oklahoma than in Delaware. 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· 36th of 51
$0.07
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.