How much rates vary
Facilitymedian $3,890 · 10th to 90th $3,802 to $6,607Professionalmedian $3,890 · 10th to 90th $2,951 to $4,266
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 $3,801.89 Median $4,897.79 Typical High $11,220.18 | Facility | None | $3,801.89 | $4,897.79 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,981.07 | Professional | None | $3,890.45 | $3,890.45 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,801.89 | $3,801.89 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $3,890.45 | Professional | None | $2,041.74 | $3,890.45 | $3,890.45 |
CDPHP Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $5,888.44 | Facility | None | $2,951.21 | $5,128.61 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $16,218.10 | Professional | None | $3,890.45 | $3,890.45 | $16,218.10 |
Emblem Health Setting Facility Modifier None Typical Low $3,715.35 Median $4,466.84 Typical High $8,317.64 | Facility | None | $3,715.35 | $4,466.84 | $8,317.64 |
Emblem Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,248.07 | Professional | None | $4,073.80 | $4,073.80 | $5,248.07 |
Excellus BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,801.89 | $3,801.89 | $3,981.07 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,801.89 | $3,981.07 |
MVP Health Care Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $8,511.38 | Facility | None | $4,677.35 | $4,677.35 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $1,659.59 Median $4,466.84 Typical High $4,466.84 | Professional | None | $1,659.59 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $5,248.07 | Professional | None | $3,548.13 | $4,073.80 | $5,248.07 |
Univera Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Facility | None | $3,801.89 | $3,801.89 | $3,981.07 |
Univera Setting Professional Modifier None Typical Low $316.23 Median $3,801.89 Typical High $3,981.07 | Professional | None | $316.23 | $3,801.89 | $3,981.07 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Highmark BCBS Setting Facility Modifier JZ · No drug discarded Typical Low $3,630.78 Median $3,630.78 Typical High $5,128.61 | Facility | JZ · No drug discarded | $3,630.78 | $3,630.78 | $5,128.61 |
Where New York sits
The same service costs 11.0 times more in Alabama than in Oklahoma. 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· 32nd of 51
$3,890
AL $23,442OK $2,138
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.