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 $28.84 Median $32.36 Typical High $63.10 | Facility | None | $28.84 | $32.36 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $63.10 | Professional | None | $28.84 | $28.84 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $114.82 | Professional | None | $33.11 | $35.48 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $7.24 | Professional | RR · Rental | $3.31 | $3.31 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $44.67 | Professional | UE · Used equipment | $25.12 | $25.12 | $44.67 |
CDPHP Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $42.66 | Facility | None | $39.81 | $39.81 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $245.47 | Facility | None | $67.61 | $102.33 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | None | $43.65 | $70.79 | $120.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | None | $47.86 | $47.86 | $54.95 |
MVP Health Care Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
MVP Health Care Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $100.00 | Professional | None | $40.74 | $40.74 | $100.00 |
United Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $46.77 | Professional | None | $21.88 | $36.31 | $46.77 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Univera Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | None | $47.86 | $47.86 | $54.95 |
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 $4.37 Median $4.37 Typical High $9.33 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $6.31 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $6.31 |
Where New York sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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
$40.74
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.