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 $0.91 Median $1.38 Typical High $2.14 | Facility | None | $0.91 | $1.38 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $2.14 | Professional | None | $1.38 | $1.38 | $2.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $3.80 | Professional | None | $2.82 | $3.80 | $3.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.27 Median $0.27 Typical High $0.51 | Professional | RR · Rental | $0.27 | $0.27 | $0.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.04 Median $2.04 Typical High $2.95 | Professional | UE · Used equipment | $2.04 | $2.04 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Emblem Health Setting Professional Modifier None Typical Low $1.41 Median $1.66 Typical High $1.66 | Professional | None | $1.41 | $1.66 | $1.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.41 Median $1.70 Typical High $1.82 | Professional | None | $1.41 | $1.70 | $1.82 |
MVP Health Care Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
MVP Health Care Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
United Setting Professional Modifier None Typical Low $1.05 Median $1.55 Typical High $2.29 | Professional | None | $1.05 | $1.55 | $2.29 |
Univera Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.70 | Facility | None | $1.41 | $1.41 | $1.70 |
Univera Setting Professional Modifier None Typical Low $1.41 Median $1.70 Typical High $1.82 | Professional | None | $1.41 | $1.70 | $1.82 |
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 $0.21 Median $0.21 Typical High $0.32 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.21 |
Where New York sits
The same service costs 6.0 times more in Minnesota than in Rhode Island. 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· 10th of 51
$2.69
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.