How much rates vary
Facilitymedian $2,291 · 10th to 90th $126 to $4,467Professionalmedian $78 · 10th to 90th $43 to $129
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 $45.71 Median $81.28 Typical High $204.17 | Facility | None | $45.71 | $81.28 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $87.10 | Professional | None | $45.71 | $81.28 | $87.10 |
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 $66.07 Median $77.62 Typical High $117.49 | Professional | None | $66.07 | $77.62 | $117.49 |
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 $61.66 Median $61.66 Typical High $117.49 | Professional | None | $61.66 | $61.66 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $281.84 | Facility | None | $89.13 | $123.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $190.55 | Professional | None | $41.69 | $79.43 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $162.18 | Facility | None | $41.69 | $48.98 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $177.83 | Professional | None | $75.86 | $117.49 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $117.49 | Professional | None | $50.12 | $87.10 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
MVP Health Care Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $223.87 | Professional | None | $37.15 | $37.15 | $223.87 |
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 $34.67 Median $70.79 Typical High $134.90 | Professional | None | $34.67 | $70.79 | $134.90 |
Univera Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $181.97 | Facility | None | $28.84 | $75.86 | $181.97 |
Univera Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $117.49 | Professional | None | $58.88 | $79.43 | $117.49 |
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 $22.91 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $22.91 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $16.22 Typical High $17.38 | Professional | 53 · Discontinued | $9.12 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $12.02 Typical High $13.18 | Professional | 55 · Aftercare only | $6.92 | $12.02 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $8.13 Typical High $8.71 | Professional | 56 · Pre-op care only | $4.57 | $8.13 | $8.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $63.10 | Professional | 53 · Discontinued | $42.66 | $43.65 | $63.10 |
Where New York sits
The same service costs 3.9 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· 34th of 51
$77.62
AK $204VA $52.48
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.