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 $51.29 Median $72.44 Typical High $229.09 | Facility | None | $51.29 | $72.44 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $109.65 | Professional | None | $51.29 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $81.28 | Professional | None | $61.66 | $72.44 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $123.03 | Professional | None | $37.15 | $64.57 | $123.03 |
Emblem Health Setting Facility Modifier None Typical Low $31.62 Median $58.88 Typical High $245.47 | Facility | None | $31.62 | $58.88 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | None | $120.23 | $120.23 | $151.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | None | $79.43 | $97.72 | $151.36 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $123.03 | Professional | None | $79.43 | $123.03 | $123.03 |
MVP Health Care Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
MVP Health Care Setting Professional Modifier None Typical Low $95.50 Median $208.93 Typical High $208.93 | Professional | None | $95.50 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $93.33 | Professional | None | $33.11 | $57.54 | $93.33 |
Univera Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $676.08 | Facility | None | $53.70 | $64.57 | $676.08 |
Univera Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | None | $79.43 | $97.72 | $151.36 |
6 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 $25.70 Median $36.31 Typical High $53.70 | Professional | 52 · Reduced service | $25.70 | $36.31 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.45 Typical High $21.88 | Professional | 53 · Discontinued | $10.23 | $14.45 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.96 Typical High $16.22 | Professional | 55 · Aftercare only | $7.59 | $10.96 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.24 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.13 | $7.24 | $10.96 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $70.79 | Professional | 53 · Discontinued | $48.98 | $54.95 | $70.79 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where New York sits
The same service costs 3.0 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
$69.18
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.