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 $4.68 Median $4.90 Typical High $10.23 | Facility | None | $4.68 | $4.90 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $10.23 | Professional | None | $4.68 | $4.68 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $18.62 | Professional | None | $4.68 | $4.68 | $18.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.46 Median $0.46 Typical High $0.81 | Professional | RR · Rental | $0.46 | $0.46 | $0.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $3.47 Typical High $6.03 | Professional | UE · Used equipment | $3.47 | $3.47 | $6.03 |
CDPHP Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Emblem Health Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $39.81 | Facility | None | $10.96 | $16.60 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $20.89 | Professional | None | $10.00 | $12.02 | $20.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.14 Median $6.31 Typical High $8.91 | Professional | None | $2.14 | $6.31 | $8.91 |
MVP Health Care Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
MVP Health Care Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $16.22 | Professional | None | $6.61 | $6.61 | $16.22 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.61 Typical High $7.94 | Professional | None | $3.63 | $6.61 | $7.94 |
Univera Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $6.31 | Facility | None | $2.14 | $2.14 | $6.31 |
Univera Setting Professional Modifier None Typical Low $2.14 Median $6.31 Typical High $8.91 | Professional | None | $2.14 | $6.31 | $8.91 |
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 $0.71 Median $0.71 Typical High $1.51 | Professional | 55 · Aftercare only | $0.71 | $0.71 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.47 | $0.47 | $1.02 |
Where New York sits
The same service costs 3.3 times more in Hawaii than in Utah. 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· 29th of 51
$6.17
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.