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 $6.92 Median $7.76 Typical High $14.79 | Facility | None | $6.92 | $7.76 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $14.79 | Professional | None | $6.92 | $6.92 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $27.54 | Professional | None | $8.13 | $8.13 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.79 Typical High $1.74 | Professional | RR · Rental | $0.79 | $0.79 | $1.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $5.89 Typical High $10.72 | Professional | UE · Used equipment | $5.89 | $5.89 | $10.72 |
CDPHP Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $10.23 | Facility | None | $8.13 | $9.55 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Emblem Health Setting Facility Modifier None Typical Low $16.22 Median $23.99 Typical High $58.88 | Facility | None | $16.22 | $23.99 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $28.84 | Professional | None | $10.47 | $16.98 | $28.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.75 Median $11.48 Typical High $13.18 | Professional | None | $2.75 | $11.48 | $13.18 |
MVP Health Care Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
MVP Health Care Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $23.44 | Professional | None | $9.77 | $9.77 | $23.44 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $10.96 | Professional | None | $5.25 | $8.71 | $10.96 |
Univera Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $11.48 | Facility | None | $2.75 | $2.75 | $11.48 |
Univera Setting Professional Modifier None Typical Low $2.75 Median $11.48 Typical High $13.18 | Professional | None | $2.75 | $11.48 | $13.18 |
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 $1.02 Median $1.02 Typical High $2.24 | Professional | 55 · Aftercare only | $1.02 | $1.02 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.69 Median $0.69 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.69 | $0.69 | $1.51 |
Where New York sits
The same service costs 2.2 times more in Kansas than in Connecticut. 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· 27th of 51
$9.55
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.