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 $39.81 Median $64.57 Typical High $229.09 | Facility | None | $39.81 | $64.57 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $107.15 | Professional | None | $39.81 | $64.57 | $107.15 |
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $63.10 Typical High $100.00 | Professional | None | $25.12 | $63.10 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $144.54 | Facility | None | $38.02 | $58.88 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | None | $112.20 | $112.20 | $141.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $125.89 | Professional | None | $77.62 | $83.18 | $125.89 |
MVP Health Care Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
MVP Health Care Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Professional | None | $87.10 | $87.10 | $123.03 |
United Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $380.19 | Facility | None | $269.15 | $309.03 | $380.19 |
United Setting Professional Modifier None Typical Low $23.99 Median $53.70 Typical High $87.10 | Professional | None | $23.99 | $53.70 | $87.10 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $588.84 | Facility | None | $40.74 | $48.98 | $588.84 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $125.89 | Professional | None | $77.62 | $87.10 | $125.89 |
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 $19.95 Median $32.36 Typical High $53.70 | Professional | 52 · Reduced service | $19.95 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.88 Typical High $21.38 | Professional | 53 · Discontinued | $7.94 | $12.88 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.77 Typical High $16.22 | Professional | 55 · Aftercare only | $6.03 | $9.77 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.46 Typical High $10.72 | Professional | 56 · Pre-op care only | $3.98 | $6.46 | $10.72 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $47.86 | $52.48 | $67.61 |
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 2.5 times more in Alaska than in Washington, DC. 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· 35th of 51
$67.61
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.