How much rates vary
Facilitymedian $138 · 10th to 90th $62 to $1,096Professionalmedian $60 · 10th to 90th $48 to $151
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 $61.66 Median $77.62 Typical High $512.86 | Facility | None | $61.66 | $77.62 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $83.18 | Professional | None | $61.66 | $61.66 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $72.44 | Professional | None | $50.12 | $60.26 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $93.33 | Professional | None | $47.86 | $56.23 | $93.33 |
CDPHP Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $588.84 | Facility | None | $104.71 | $104.71 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $138.04 | Professional | None | $51.29 | $60.26 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $69.18 Median $138.04 Typical High $251.19 | Facility | None | $69.18 | $138.04 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $120.23 | Professional | None | $63.10 | $72.44 | $120.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $89.13 | Professional | None | $50.12 | $60.26 | $89.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $933.25 | Facility | None | $562.34 | $562.34 | $933.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $147.91 | Professional | None | $66.07 | $75.86 | $147.91 |
MVP Health Care Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
MVP Health Care Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,995.26 | Facility | None | $1,380.38 | $1,621.81 | $1,995.26 |
United Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $102.33 | Professional | None | $44.67 | $70.79 | $102.33 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $549.54 | Facility | None | $58.88 | $75.86 | $549.54 |
Univera Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $79.43 | Professional | None | $50.12 | $60.26 | $79.43 |
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 $30.90 Median $30.90 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $12.30 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $7.59 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $63.10 | Professional | 53 · Discontinued | $38.02 | $47.86 | $63.10 |
Where New York sits
The same service costs 3.2 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· 50th of 51
$60.26
AK $182FL $57.54
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.