Allergy rates vary widely. Know where yours stand.
In Boston, the top-paying payer’s median rate for allergen immunotherapy prep is 365% higher than the lowest. We use payer price data to show the value of your care and negotiate rates that reflect it.
What we hear from allergy and immunology leaders
Specialists can be paid the same as, or less than, generalists for the same codes.
The same service can be paid very differently from one payer or city to the next.
Each new location or state means more contracts to review, line up and renegotiate.
What commercial payers pay allergists in Los Angeles, Atlanta and Boston
Based on payer price transparency data for in-network rates paid to allergy and immunology providers. Pick a market to see its rates.
Select a code to see rates by payer.
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $7.96 | $13.01 | $14.26 |
| Cigna | $7.34 | $19.19 | $19.19 |
| UnitedHealthcare | $5.25 | $16.18 | $25.22 |
| BCBS | $12.60 | $18.84 | $20.60 |
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $25.18 | $30.13 | $30.13 |
| Cigna | $19.50 | $73.30 | $73.30 |
| UnitedHealthcare | $13.53 | $56.74 | $87.66 |
| BCBS | $26.09 | $63.89 | $69.83 |
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $157.33 | $163.85 | $179.63 |
| Cigna | $96.29 | $415.30 | $415.30 |
| UnitedHealthcare | $72.66 | $265.11 | $432.76 |
| BCBS | $139.69 | $320.66 | $350.49 |
Select a code to see rates by payer.
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $12.44 | $12.44 | $13.97 |
| Cigna | $9.48 | $10.27 | $10.27 |
| UnitedHealthcare | $9.93 | $9.93 | $14.59 |
| BCBS | $11.58 | $11.58 | $11.58 |
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $34.76 | $42.54 | $42.54 |
| Cigna | $37.20 | $40.72 | $40.72 |
| UnitedHealthcare | $39.29 | $39.29 | $39.84 |
| BCBS | $39.58 | $39.58 | $39.58 |
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $193.84 | $200.03 | $200.03 |
| Cigna | $187.35 | $187.35 | $242.46 |
| UnitedHealthcare | $158.69 | $158.69 | $198.31 |
| BCBS | $163.37 | $166.83 | $184.35 |
Select a code to see rates by payer.
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $6.51 | $14.85 | $16.47 |
| Cigna | $16.61 | $16.61 | $16.61 |
| UnitedHealthcare | $14.97 | $14.97 | $14.97 |
| BCBS | $11.60 | $11.84 | $26.61 |
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $13.02 | $32.49 | $32.49 |
| Cigna | $59.56 | $59.56 | $59.56 |
| UnitedHealthcare | $60.59 | $60.59 | $60.59 |
| BCBS | $45.82 | $55.43 | $124.54 |
| Payer | 50th percentile (median) | 75th percentile | 90th percentile |
|---|---|---|---|
| Aetna | $110.33 | $175.46 | $245.30 |
| Cigna | $282.16 | $282.16 | $282.16 |
| UnitedHealthcare | $280.72 | $280.72 | $280.72 |
| BCBS | $254.74 | $289.33 | $650.08 |
Commercial in-network rates for allergy and immunology providers, from payer price transparency files. Percentiles show how rates are spread across providers in each market.
These are commercial in-network rates for allergy and immunology providers, taken from the price transparency files payers are required to publish. Rates are current as of October 2026.
The 50th percentile is the median. Half of allergists in that market are paid less, and half are paid more. At the 90th percentile, only 10% are paid more.
Your rate depends on the payer, plan type, contract terms and when your contract was last negotiated.
We’ll compare your contracted rates to your market, payer by payer.
How we help allergy and immunology practices
We review every contract, benchmark your rates against competitors and negotiate increases.
We check paid claims against your contract terms to find and recover underpayments.
We compare what payers pay for your key codes across markets and use it to make your case.
We evaluate new markets and growth plans so your contracts are ready before you expand.
The Prescription for Expansion: Aligning Strategy and Execution
A Texas-based allergy and immunology provider wanted to grow nationally while keeping cash flow steady. We reviewed every active contract, benchmarked rates against competitors, and consolidated and renegotiated its agreements. We’ve been its contracting partner for more than two years.
“One of the greatest things about working with Tribunus Health is the incredible continuity of our team.”
VP, Revenue Cycle Management, Allergy & Immunology Provider
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