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 $1.17 Median $1.35 Typical High $1.58 | Facility | None | $1.17 | $1.35 | $1.58 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.58 | Professional | None | $1.35 | $1.35 | $1.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $4.27 | Facility | None | $2.14 | $2.14 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $4.68 | Professional | None | $1.58 | $1.58 | $4.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.16 Median $0.16 Typical High $0.27 | Professional | RR · Rental | $0.16 | $0.16 | $0.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.20 Median $1.20 Typical High $2.09 | Professional | UE · Used equipment | $1.20 | $1.20 | $2.09 |
CDPHP Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.70 Typical High $3.09 | Professional | None | $1.17 | $1.70 | $3.09 |
Emblem Health Setting Facility Modifier None Typical Low $2.19 Median $3.63 Typical High $7.94 | Facility | None | $2.19 | $3.63 | $7.94 |
Emblem Health Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $6.03 | Professional | None | $2.19 | $2.63 | $6.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $1.07 Median $2.09 Typical High $2.09 | Facility | None | $1.07 | $2.09 | $2.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.29 Median $2.09 Typical High $2.24 | Professional | None | $1.29 | $2.09 | $2.24 |
MVP Health Care Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
MVP Health Care Setting Professional Modifier None Typical Low $2.14 Median $2.24 Typical High $4.07 | Professional | None | $2.14 | $2.24 | $4.07 |
United Setting Professional Modifier None Typical Low $1.17 Median $2.45 Typical High $3.98 | Professional | None | $1.17 | $2.45 | $3.98 |
Univera Setting Facility Modifier None Typical Low $1.07 Median $2.09 Typical High $2.14 | Facility | None | $1.07 | $2.09 | $2.14 |
Univera Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.24 | Professional | None | $2.09 | $2.09 | $2.24 |
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 $0.20 Median $0.20 Typical High $0.24 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.16 |
Where New York sits
The same service costs 33.1 times more in Kansas 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· 20th of 51
$2.09
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.