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 $16.98 Median $19.05 Typical High $37.15 | Facility | None | $16.98 | $19.05 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $37.15 | Professional | None | $16.98 | $16.98 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $67.61 | Professional | None | $19.95 | $19.95 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $4.27 | Professional | RR · Rental | $1.95 | $1.95 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $26.30 | Professional | UE · Used equipment | $14.79 | $14.79 | $26.30 |
CDPHP Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $28.18 | Facility | None | $26.30 | $26.30 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $144.54 | Facility | None | $39.81 | $60.26 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $70.79 | Professional | None | $26.30 | $42.66 | $70.79 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $33.11 | Professional | None | $28.18 | $30.20 | $33.11 |
MVP Health Care Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $58.88 | Professional | None | $24.55 | $24.55 | $58.88 |
United Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $27.54 | Professional | None | $13.18 | $21.88 | $27.54 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $30.20 Typical High $30.20 | Facility | None | $28.18 | $30.20 | $30.20 |
Univera Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $33.11 | Professional | None | $28.18 | $30.20 | $33.11 |
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 $2.57 Median $2.57 Typical High $5.62 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $3.72 |
Where New York sits
The same service costs 3.0 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· 22nd of 51
$24.55
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.