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 $74.13 Median $120.23 Typical High $125.89 | Facility | None | $74.13 | $120.23 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $125.89 | Professional | None | $74.13 | $74.13 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $125.89 | Professional | None | $50.12 | $61.66 | $125.89 |
CDPHP Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $851.14 | Professional | None | $151.36 | $151.36 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $309.03 | Facility | None | $112.20 | $165.96 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $389.05 | Professional | None | $138.04 | $263.03 | $389.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $281.84 | Professional | None | $117.49 | $117.49 | $281.84 |
MVP Health Care Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $281.84 | Professional | None | $104.71 | $104.71 | $281.84 |
United Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $316.23 | Professional | None | $123.03 | $169.82 | $316.23 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $186.21 | Facility | None | $112.20 | $112.20 | $186.21 |
Univera Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $281.84 | Professional | None | $117.49 | $169.82 | $281.84 |
4 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 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | 52 · Reduced service | $37.15 | $37.15 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $25.12 | Professional | 53 · Discontinued | $14.79 | $14.79 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $19.05 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $12.59 |
Where New York sits
The same service costs 20.0 times more in Alaska than in Virginia. 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· 48th of 51
$64.57
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.