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 $66.07 Median $77.62 Typical High $208.93 | Facility | None | $66.07 | $77.62 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $83.18 | Professional | None | $66.07 | $75.86 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $131.83 | Professional | None | $102.33 | $120.23 | $131.83 |
CDPHP Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None | $123.03 | $123.03 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $169.82 | Professional | None | $66.07 | $79.43 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $302.00 | Facility | None | $77.62 | $125.89 | $302.00 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | None | $123.03 | $123.03 | $208.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $120.23 | Professional | None | $48.98 | $97.72 | $120.23 |
MVP Health Care Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | None | $87.10 | $87.10 | $144.54 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $131.83 | Professional | None | $57.54 | $81.28 | $131.83 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $501.19 | Facility | None | $47.86 | $79.43 | $501.19 |
Univera Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $120.23 | Professional | None | $48.98 | $87.10 | $120.23 |
3 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 $33.11 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.22 Typical High $12.59 | Professional | 55 · Aftercare only | $9.77 | $11.22 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.59 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.61 | $7.59 | $8.32 |
Where New York sits
The same service costs 2.5 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· 31st of 51
$102
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.