How much rates vary
Facilitymedian $107 · 10th to 90th $66 to $617Professionalmedian $83 · 10th to 90th $66 to $132
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 $91.20 Median $102.33 Typical High $199.53 | Facility | None | $91.20 | $102.33 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $81.28 | $91.20 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $70.79 | $83.18 | $97.72 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $562.34 | Facility | None | $120.23 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $223.87 | Professional | None (both parts) | $60.26 | $70.79 | $223.87 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $269.15 | Facility | None | $66.07 | $87.10 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $81.28 | $83.18 | $131.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $58.88 | $74.13 | $104.71 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $81.28 | $81.28 | $190.55 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $234.42 | Professional | None (both parts) | $54.95 | $91.20 | $234.42 |
Univera Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $338.84 | Facility | None | $79.43 | $91.20 | $338.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $56.23 | $69.18 | $104.71 |
10 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 $40.74 Median $40.74 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $81.28 | $81.28 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $131.83 Typical High $416.87 | Professional | TC · Technical part | $69.18 | $131.83 | $416.87 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $77.62 | $91.20 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $61.66 Typical High $109.65 | Professional | 53 · Discontinued | $47.86 | $61.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $77.62 | $93.33 |
Univera Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $77.62 | $91.20 |
Where New York sits
The same service costs 2.9 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· 47th of 51
$83.18
AK $219FL $75.86
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.