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 $39.81 Median $43.65 Typical High $114.82 | Facility | None | $39.81 | $43.65 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | None | $40.74 | $40.74 | $42.66 |
CDPHP Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $53.70 Typical High $74.13 | Facility | None | $33.11 | $53.70 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Emblem Health Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $91.20 | Facility | None | $38.90 | $48.98 | $91.20 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Facility | None | $39.81 | $39.81 | $41.69 |
Excellus BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None | $39.81 | $39.81 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $40.74 Median $53.70 Typical High $67.61 | Facility | None | $40.74 | $53.70 | $67.61 |
MVP Health Care Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $102.33 | Facility | None | $52.48 | $52.48 | $102.33 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $52.48 | Professional | None | $15.14 | $15.14 | $52.48 |
United Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $56.23 | Professional | None | $37.15 | $39.81 | $56.23 |
Univera Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $47.86 | Facility | None | $39.81 | $39.81 | $47.86 |
Univera Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None | $39.81 | $39.81 | $41.69 |
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 Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | JW · Drug discarded | $38.02 | $38.02 | $38.02 |
Where New York sits
Rates are fairly even across states for this service. 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· 49th of 51
$40.74
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.