How much rates vary
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 $389.05 Median $549.54 Typical High $1,230.27 | Facility | None | $389.05 | $549.54 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $549.54 | Professional | None | $389.05 | $389.05 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $630.96 | Professional | None | $338.84 | $398.11 | $630.96 |
CDPHP Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $912.01 | Facility | None | $537.03 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $870.96 | Professional | None | $380.19 | $446.68 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $2,041.74 | Facility | None | $338.84 | $575.44 | $2,041.74 |
Emblem Health Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,047.13 | Professional | None | $457.09 | $630.96 | $1,047.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Excellus BCBS Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $660.69 | Professional | None | $371.54 | $457.09 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
MVP Health Care Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $630.96 | Professional | None | $354.81 | $354.81 | $630.96 |
United Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $676.08 | Professional | None | $363.08 | $446.68 | $676.08 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $562.34 Typical High $1,513.56 | Facility | None | $223.87 | $562.34 | $1,513.56 |
Univera Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $660.69 | Professional | None | $371.54 | $457.09 | $660.69 |
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 $194.98 Median $194.98 Typical High $275.42 | Professional | 52 · Reduced service | $194.98 | $194.98 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $109.65 | Professional | 53 · Discontinued | $77.62 | $77.62 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $54.95 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $302.00 Typical High $457.09 | Professional | 53 · Discontinued | $239.88 | $302.00 | $457.09 |
Where New York sits
The same service costs 3.2 times more in Alaska than in New York. 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· 51st of 51
$398
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.