How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.89 Median $0.89 Typical High $1.05 | Facility | None | $0.89 | $0.89 | $1.05 |
Aetna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $1.05 | Professional | None | $0.89 | $0.89 | $1.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.45 Median $0.45 Typical High $0.52 | Professional | 52 · Reduced service | $0.45 | $0.45 | $0.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.18 Median $0.18 Typical High $0.21 | Professional | 53 · Discontinued | $0.18 | $0.18 | $0.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.16 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.62 Median $398.11 Typical High $758.58 | Professional | None | $0.62 | $398.11 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | None | $43.65 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Where New York sits
The same service costs 177.8 times more in Texas than in Georgia. 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· 16th of 51
$66.07
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.