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 $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $3.31 | Professional | None | $1.70 | $1.70 | $3.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.17 Median $0.17 Typical High $0.28 | Professional | RR · Rental | $0.17 | $0.17 | $0.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.29 Median $1.29 Typical High $1.91 | Professional | UE · Used equipment | $1.29 | $1.29 | $1.91 |
Cigna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Emblem Health Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $3.80 | Professional | None | $0.17 | $0.17 | $3.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Facility | None | $0.16 | $0.16 | $0.16 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | None | $0.16 | $0.16 | $0.16 |
MVP Health Care Setting Facility Modifier None Typical Low $0.37 Median $0.37 Typical High $0.37 | Facility | None | $0.37 | $0.37 | $0.37 |
MVP Health Care Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.26 Typical High $0.38 | Professional | None | $0.18 | $0.26 | $0.38 |
Univera Setting Facility Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Facility | None | $0.16 | $0.16 | $0.16 |
Univera Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | None | $0.16 | $0.16 | $0.16 |
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 $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Where New York sits
The same service costs 24.5 times more in North Carolina than in Oregon. 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· 7th of 51
$0.33
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.