How much rates vary
Facilitymedian $2,291 · 10th to 90th $68 to $4,467Professionalmedian $39 · 10th to 90th $26 to $65
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 $43.65 Typical High $102.33 | Facility | None | $28.18 | $43.65 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $43.65 | Professional | None | $28.18 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $54.95 | Professional | None | $33.88 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $60.26 Typical High $83.18 | Professional | 50 · Both sides | $51.29 | $60.26 | $83.18 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | None | $39.81 | $39.81 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $54.95 Typical High $154.88 | Facility | None | $31.62 | $54.95 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $91.20 | Professional | None | $25.12 | $38.90 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $104.71 | Facility | None | $27.54 | $33.11 | $104.71 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $81.28 | Professional | None | $37.15 | $52.48 | $81.28 |
Excellus BCBS Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $57.54 | Professional | None | $25.12 | $42.66 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
MVP Health Care Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $123.03 | Professional | None | $26.30 | $26.30 | $123.03 |
United Setting Facility Modifier None Typical Low $354.81 Median $1,148.15 Typical High $4,365.16 | Facility | None | $354.81 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $77.62 | Professional | None | $23.44 | $37.15 | $77.62 |
Univera Setting Facility Modifier None Typical Low $18.62 Median $37.15 Typical High $125.89 | Facility | None | $18.62 | $37.15 | $125.89 |
Univera Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $57.54 | Professional | None | $29.51 | $42.66 | $57.54 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $14.13 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.62 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $6.46 Typical High $6.61 | Professional | 55 · Aftercare only | $4.27 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.82 | $4.37 | $4.37 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $22.91 | $32.36 |
Where New York sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 45th of 51
$39.81
AK $112VA $33.88
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.