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 $10.23 Median $12.02 Typical High $14.45 | Facility | None | $10.23 | $12.02 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $39.81 | Facility | None | $19.95 | $19.95 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $43.65 | Professional | None | $15.49 | $15.49 | $43.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $2.57 | Professional | RR · Rental | $1.48 | $1.48 | $2.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | UE · Used equipment | $11.22 | $11.22 | $16.22 |
CDPHP Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $95.50 | Professional | None | $16.98 | $16.98 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $74.13 | Facility | None | $20.42 | $33.88 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $56.23 | Professional | None | $20.42 | $24.55 | $56.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.22 Median $18.62 Typical High $18.62 | Facility | None | $16.22 | $18.62 | $18.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | None | $18.62 | $18.62 | $19.95 |
MVP Health Care Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $37.15 | Professional | None | $19.95 | $19.95 | $37.15 |
United Setting Professional Modifier None Typical Low $10.72 Median $22.39 Typical High $35.48 | Professional | None | $10.72 | $22.39 | $35.48 |
Univera Setting Facility Modifier None Typical Low $16.22 Median $18.62 Typical High $18.62 | Facility | None | $16.22 | $18.62 | $18.62 |
Univera Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | None | $18.62 | $18.62 | $19.95 |
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 $1.78 Median $1.78 Typical High $2.14 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.45 |
Where New York sits
The same service costs 3.5 times more in Florida than in Alabama. 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
$18.62
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.