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 $3.47 Median $3.47 Typical High $501.19 | Facility | None | $3.47 | $3.47 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $457.09 Typical High $457.09 | Professional | None | $3.47 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $1.74 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $0.69 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $0.52 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $0.35 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $1,819.70 | Professional | None | $912.01 | $1,548.82 | $1,819.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $257.04 | Facility | None | $181.97 | $251.19 | $257.04 |
United Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $64.57 | Professional | None | $34.67 | $60.26 | $64.57 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $69.18 | Facility | None | $58.88 | $69.18 | $69.18 |
Univera Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Where New York sits
The same service costs 446.7 times more in Connecticut than in Idaho. 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· 8th of 51
$457
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.