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 $616.60 Median $758.58 Typical High $1,778.28 | Facility | None | $616.60 | $758.58 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $707.95 | Professional | None | $616.60 | $616.60 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
CDPHP Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $1,148.15 | Facility | None | $125.89 | $125.89 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $3,981.07 | Professional | None | $758.58 | $758.58 | $3,981.07 |
Emblem Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Facility | None | $724.44 | $724.44 | $1,174.90 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | None | $758.58 | $758.58 | $933.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Facility | None | $741.31 | $741.31 | $758.58 |
Excellus BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | None | $741.31 | $741.31 | $758.58 |
MVP Health Care Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,023.29 | Professional | None | $602.56 | $741.31 | $1,023.29 |
Univera Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Facility | None | $741.31 | $741.31 | $758.58 |
Univera Setting Professional Modifier None Typical Low $223.87 Median $741.31 Typical High $758.58 | Professional | None | $223.87 | $741.31 | $758.58 |
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 $309.03 Median $309.03 Typical High $354.81 | Professional | 52 · Reduced service | $309.03 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $70.79 |
Where New York sits
The same service costs 9.8 times more in Alaska 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· 22nd of 51
$741
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.