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 $16.22 Median $17.78 Typical High $34.67 | Facility | None | $16.22 | $17.78 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $34.67 | Professional | None | $16.22 | $16.22 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $63.10 | Professional | None | $16.60 | $16.60 | $63.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $3.63 | Professional | RR · Rental | $1.66 | $1.66 | $3.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $22.39 | Professional | UE · Used equipment | $12.59 | $12.59 | $22.39 |
CDPHP Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $23.44 | Facility | None | $18.20 | $21.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Emblem Health Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $134.90 | Facility | None | $38.02 | $56.23 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $69.18 | Professional | None | $24.55 | $41.69 | $69.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $30.90 | Professional | None | $20.89 | $22.91 | $30.90 |
MVP Health Care Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $54.95 | Professional | None | $24.55 | $24.55 | $54.95 |
United Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $28.18 | Professional | None | $12.30 | $22.91 | $28.18 |
Univera Setting Facility Modifier None Typical Low $20.89 Median $21.38 Typical High $26.30 | Facility | None | $20.89 | $21.38 | $26.30 |
Univera Setting Professional Modifier None Typical Low $12.59 Median $22.91 Typical High $30.90 | Professional | None | $12.59 | $22.91 | $30.90 |
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 $2.40 Median $2.40 Typical High $5.25 | Professional | 55 · Aftercare only | $2.40 | $2.40 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $3.47 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $3.47 |
Where New York sits
The same service costs 2.9 times more in Hawaii 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· 31st of 51
$21.38
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.