How much rates vary
Facilitymedian $78 · 10th to 90th $5 to $589Professionalmedian $126 · 10th to 90th $56 to $166
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 $630.96 Typical High $2,041.74 | Facility | None | $91.20 | $630.96 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None | $77.62 | $77.62 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $165.96 | Professional | None | $120.23 | $141.25 | $165.96 |
CDPHP Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $1,905.46 | Facility | None | $93.33 | $117.49 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $169.82 | Professional | None | $83.18 | $83.18 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $83.18 Typical High $204.17 | Facility | None | $33.88 | $83.18 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $154.88 | Professional | None | $69.18 | $77.62 | $154.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $107.15 | Professional | None | $51.29 | $70.79 | $107.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $120.23 | Professional | None | $39.81 | $39.81 | $120.23 |
United Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $134.90 | Facility | None | $93.33 | $109.65 | $134.90 |
United Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $114.82 | Professional | None | $53.70 | $79.43 | $114.82 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $91.20 | Facility | None | $5.01 | $5.01 | $91.20 |
Univera Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $107.15 | Professional | None | $51.29 | $69.18 | $107.15 |
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 $38.90 Median $38.90 Typical High $45.71 | Professional | 52 · Reduced service | $38.90 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $15.49 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $9.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $77.62 | Professional | 53 · Discontinued | $39.81 | $52.48 | $77.62 |
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· 12th of 51
$126
AK $195FL $64.57
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.