How much rates vary
Facilitymedian $182 · 10th to 90th $35 to $871Professionalmedian $295 · 10th to 90th $129 to $380
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 $213.80 Median $588.84 Typical High $2,041.74 | Facility | None | $213.80 | $588.84 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $380.19 | Professional | None | $275.42 | $323.59 | $380.19 |
CDPHP Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $4,466.84 | Facility | None | $257.04 | $269.15 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $389.05 | Professional | None | $190.55 | $190.55 | $389.05 |
Emblem Health Setting Facility Modifier None Typical Low $100.00 Median $194.98 Typical High $489.78 | Facility | None | $100.00 | $194.98 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $363.08 | Professional | None | $162.18 | $208.93 | $363.08 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $213.80 | Professional | None | $120.23 | $165.96 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,071.52 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
MVP Health Care Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $281.84 | Professional | None | $89.13 | $89.13 | $281.84 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $954.99 | Facility | None | $660.69 | $776.25 | $954.99 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $263.03 | Professional | None | $125.89 | $181.97 | $263.03 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $208.93 | Facility | None | $35.48 | $35.48 | $208.93 |
Univera Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $213.80 | Professional | None | $120.23 | $162.18 | $213.80 |
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 $91.20 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $21.38 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $120.23 Typical High $181.97 | Professional | 53 · Discontinued | $91.20 | $120.23 | $181.97 |
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· 12th of 51
$295
AK $447FL $155
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.