How much rates vary
Facilitymedian $204 · 10th to 90th $107 to $457Professionalmedian $110 · 10th to 90th $89 to $224
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 $107.15 Median $144.54 Typical High $1,258.93 | Facility | None | $107.15 | $144.54 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None | $107.15 | $107.15 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $158.49 | Professional | None | $93.33 | $109.65 | $158.49 |
CDPHP Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $181.97 | Facility | None | $144.54 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $234.42 | Professional | None | $89.13 | $104.71 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $436.52 | Facility | None | $120.23 | $229.09 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $208.93 | Professional | None | $107.15 | $123.03 | $208.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | None | $85.11 | $104.71 | $154.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
MVP Health Care Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $173.78 | Professional | None | $75.86 | $120.23 | $173.78 |
Univera Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $812.83 | Facility | None | $102.33 | $131.83 | $812.83 |
Univera Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | None | $85.11 | $104.71 | $154.88 |
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 $52.48 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $19.50 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $12.88 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $107.15 | Professional | 53 · Discontinued | $66.07 | $81.28 | $107.15 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 48th of 51
$110
AK $316UT $97.72
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.