How much rates vary
Facilitymedian $2,291 · 10th to 90th $100 to $4,467Professionalmedian $58 · 10th to 90th $42 to $100
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 $66.07 Typical High $151.36 | Facility | None | $45.71 | $66.07 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $66.07 | Professional | None | $45.71 | $66.07 | $66.07 |
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 $48.98 Median $57.54 Typical High $83.18 | Professional | None | $48.98 | $57.54 | $83.18 |
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 $89.13 | Professional | None | $61.66 | $61.66 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $162.18 | Facility | None | $52.48 | $89.13 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $141.25 | Professional | None | $42.66 | $60.26 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $158.49 | Facility | None | $41.69 | $50.12 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $120.23 | Professional | None | $57.54 | $79.43 | $120.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $85.11 | Professional | None | $37.15 | $64.57 | $85.11 |
MVP Health Care Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
MVP Health Care Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $169.82 | Professional | None | $37.15 | $37.15 | $169.82 |
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 $36.31 Median $56.23 Typical High $112.20 | Professional | None | $36.31 | $56.23 | $112.20 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $131.83 | Facility | None | $29.51 | $57.54 | $131.83 |
Univera Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $85.11 | Professional | None | $43.65 | $57.54 | $85.11 |
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 $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $22.91 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $9.12 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $6.92 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.57 | $6.61 | $6.61 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $32.36 | $46.77 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 44th of 51
$57.54
AK $182FL $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.