How much rates vary
Facilitymedian $50 · 10th to 90th $42 to $91Professionalmedian $45 · 10th to 90th $42 to $209
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 $41.69 Median $61.66 Typical High $144.54 | Facility | None | $41.69 | $61.66 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Facility | None | $50.12 | $50.12 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $288.40 | Professional | None | $41.69 | $41.69 | $288.40 |
CDPHP Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $218.78 | Facility | None | $45.71 | $60.26 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $275.42 | Professional | None | $41.69 | $41.69 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $91.20 | Facility | None | $38.90 | $48.98 | $91.20 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $269.15 | Professional | None | $44.67 | $44.67 | $269.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Facility | None | $50.12 | $50.12 | $51.29 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | None | $50.12 | $50.12 | $51.29 |
MVP Health Care Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
MVP Health Care Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $194.98 | Professional | None | $112.20 | $138.04 | $194.98 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $218.78 | Professional | None | $50.12 | $66.07 | $218.78 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Facility | None | $50.12 | $50.12 | $60.26 |
Univera Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $208.93 | Professional | None | $50.12 | $50.12 | $208.93 |
5 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 $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Highmark BCBS Setting Facility Modifier JZ · No drug discarded Typical Low $169.82 Median $169.82 Typical High $295.12 | Facility | JZ · No drug discarded | $169.82 | $169.82 | $295.12 |
Where New York sits
The same service costs 3.9 times more in Wyoming 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· 34th of 51
$50.12
WY $162GA $41.69
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.