How much rates vary
Facilitymedian $2,512 · 10th to 90th $251 to $4,467Professionalmedian $31 · 10th to 90th $18 to $54
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 $17.78 Median $30.90 Typical High $81.28 | Facility | None | $17.78 | $30.90 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $37.15 | Professional | None | $17.78 | $30.90 | $37.15 |
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 $26.92 Median $30.90 Typical High $48.98 | Professional | None | $26.92 | $30.90 | $48.98 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $47.86 Typical High $61.66 | Professional | 50 · Both sides | $40.74 | $47.86 | $61.66 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $51.29 | Professional | None | $26.30 | $26.30 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $100.00 Typical High $1,096.48 | Facility | None | $27.54 | $100.00 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $72.44 | Professional | None | $16.22 | $32.36 | $72.44 |
Emblem Health Setting Facility Modifier None Typical Low $16.98 Median $36.31 Typical High $64.57 | Facility | None | $16.98 | $36.31 | $64.57 |
Emblem Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $67.61 | Professional | None | $40.74 | $40.74 | $67.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $47.86 | Professional | None | $19.50 | $33.88 | $47.86 |
Fidelis Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 50 · Both sides | $56.23 | $57.54 | $57.54 |
MVP Health Care Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | None | $30.20 | $30.20 | $100.00 |
United Setting Facility Modifier None Typical Low $338.84 Median $1,148.15 Typical High $4,365.16 | Facility | None | $338.84 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $15.14 Median $28.18 Typical High $56.23 | Professional | None | $15.14 | $28.18 | $56.23 |
Univera Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $199.53 | Facility | None | $12.30 | $24.55 | $199.53 |
Univera Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $45.71 | Professional | None | $19.50 | $33.88 | $45.71 |
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 $8.91 Median $15.49 Typical High $18.62 | Professional | 52 · Reduced service | $8.91 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $6.17 Typical High $7.41 | Professional | 53 · Discontinued | $3.63 | $6.17 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $4.68 Typical High $5.50 | Professional | 55 · Aftercare only | $2.69 | $4.68 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $3.09 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.82 | $3.09 | $3.72 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $18.62 | $25.12 |
Where New York sits
The same service costs 3.8 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· 47th of 51
$30.90
AK $91.20VA $23.99
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.