How much rates vary
Facilitymedian $2,291 · 10th to 90th $158 to $4,467Professionalmedian $95 · 10th to 90th $68 to $174
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 $67.61 Median $89.13 Typical High $245.47 | Facility | None | $67.61 | $89.13 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $109.65 | Professional | None | $67.61 | $89.13 | $109.65 |
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 $85.11 Median $95.50 Typical High $158.49 | Professional | None | $85.11 | $95.50 | $158.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $147.91 Typical High $194.98 | Professional | 50 · Both sides | $125.89 | $147.91 | $194.98 |
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 $109.65 Median $109.65 Typical High $151.36 | Professional | None | $109.65 | $109.65 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $269.15 | Facility | None | $93.33 | $120.23 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $234.42 | Professional | None | $75.86 | $102.33 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $87.10 Typical High $281.84 | Facility | None | $72.44 | $87.10 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $213.80 | Professional | None | $97.72 | $141.25 | $213.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $141.25 | Professional | None | $61.66 | $107.15 | $141.25 |
MVP Health Care Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
MVP Health Care Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $269.15 | Professional | None | $52.48 | $52.48 | $269.15 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $199.53 | Professional | None | $61.66 | $97.72 | $199.53 |
Univera Setting Facility Modifier None Typical Low $51.29 Median $97.72 Typical High $323.59 | Facility | None | $51.29 | $97.72 | $323.59 |
Univera Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $141.25 | Professional | None | $72.44 | $97.72 | $141.25 |
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 $33.88 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $33.88 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $13.49 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.49 Typical High $15.49 | Professional | 55 · Aftercare only | $10.00 | $13.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.91 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.76 | $8.91 | $10.23 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $56.23 | $83.18 |
Where New York sits
The same service costs 3.8 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· 43rd of 51
$95.50
AK $309FL $81.28
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.