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 $0.69 Median $0.93 Typical High $2.14 | Facility | None | $0.69 | $0.93 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | None | $0.69 | $0.69 | $0.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.89 | Professional | None | $0.69 | $0.69 | $0.89 |
Cigna Setting Facility Modifier None Typical Low $0.76 Median $0.95 Typical High $1.86 | Facility | None | $0.76 | $0.95 | $1.86 |
Cigna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | None | $0.69 | $0.69 | $0.69 |
Emblem Health Setting Facility Modifier None Typical Low $0.65 Median $0.83 Typical High $1.55 | Facility | None | $0.65 | $0.83 | $1.55 |
Emblem Health Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.72 Median $1.00 Typical High $1.00 | Facility | None | $0.72 | $1.00 | $1.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | None | $0.72 | $0.72 | $0.72 |
MVP Health Care Setting Facility Modifier None Typical Low $1.00 Median $1.00 Typical High $3.63 | Facility | None | $1.00 | $1.00 | $3.63 |
MVP Health Care Setting Professional Modifier None Typical Low $0.76 Median $0.95 Typical High $0.95 | Professional | None | $0.76 | $0.95 | $0.95 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.76 Typical High $0.98 | Professional | None | $0.72 | $0.76 | $0.98 |
Univera Setting Facility Modifier None Typical Low $0.72 Median $1.00 Typical High $1.02 | Facility | None | $0.72 | $1.00 | $1.02 |
Univera Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | None | $0.72 | $0.72 | $0.72 |
2 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier JZ · No drug discarded Typical Low $0.87 Median $0.87 Typical High $0.91 | Facility | JZ · No drug discarded | $0.87 | $0.87 | $0.91 |
Highmark BCBS Setting Professional Modifier JZ · No drug discarded Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | JZ · No drug discarded | $0.83 | $0.83 | $0.83 |
Where New York sits
The same service costs 2.5 times more in Wyoming than in Maine. 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· 23rd of 51
$0.72
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.