How much rates vary
Facilitymedian $2,042 · 10th to 90th $48 to $4,571Professionalmedian $93 · 10th to 90th $71 to $110
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 $47.86 Median $47.86 Typical High $114.82 | Facility | None | $47.86 | $47.86 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $47.86 | $47.86 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $30.20 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $36.31 | Professional | TC · Technical part | $17.38 | $17.38 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $83.18 | $95.50 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $69.18 | $95.50 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $144.54 | Professional | TC · Technical part | $40.74 | $60.26 | $144.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $48.98 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $48.98 | $91.20 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $194.98 Typical High $549.54 | Facility | None | $43.65 | $194.98 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $245.47 | Professional | None (both parts) | $102.33 | $104.71 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $67.61 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $36.31 | $87.10 |
Emblem Health Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $123.03 | Facility | None | $38.90 | $45.71 | $123.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $97.72 | $100.00 | $154.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $61.66 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $37.15 | $104.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $60.26 | $83.18 | $117.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $51.29 | $72.44 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $32.36 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,818.38 Typical High $4,897.79 | Facility | None | $831.76 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $61.66 | $81.28 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $50.12 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $30.90 | $56.23 |
Univera Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $275.42 | Facility | None | $89.13 | $107.15 | $275.42 |
Univera Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $60.26 | $79.43 | $112.20 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $47.86 | $69.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $30.20 | $43.65 |
2 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 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $15.49 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $10.23 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $10.23 |
Where New York sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 39th of 51
$93.33
MN $275AL $63.10
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.