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 $61.66 Median $91.20 Typical High $177.83 | Facility | None | $61.66 | $91.20 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | None | $61.66 | $61.66 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $31.62 | Professional | None | $22.91 | $27.54 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $79.43 Typical High $131.83 | Facility | None | $75.86 | $79.43 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $128.82 | Facility | None | $79.43 | $79.43 | $128.82 |
Emblem Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
Univera Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $75.86 | Facility | None | $64.57 | $75.86 | $75.86 |
Univera Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None | $64.57 | $75.86 | $75.86 |
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 $30.90 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $10.72 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $7.08 |
Where New York sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 47th of 51
$28.18
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.