How much rates vary
Facilitymedian $2,884 · 10th to 90th $2,754 to $5,012Professionalmedian $2,884 · 10th to 90th $2,754 to $3,311
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 $2,818.38 Median $3,467.37 Typical High $8,128.31 | Facility | None | $2,818.38 | $3,467.37 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,818.38 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
CDPHP Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $4,265.80 | Facility | None | $2,511.89 | $3,715.35 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Emblem Health Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $6,165.95 | Facility | None | $2,691.53 | $3,090.30 | $6,165.95 |
Emblem Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,019.95 | Professional | None | $2,754.23 | $2,754.23 | $3,019.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,818.38 | $2,951.21 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Professional | None | $2,818.38 | $2,818.38 | $2,951.21 |
MVP Health Care Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,888.44 | Facility | None | $3,467.37 | $3,467.37 | $5,888.44 |
MVP Health Care Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,818.38 | $3,311.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,818.38 | $2,951.21 | $3,801.89 |
Univera Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,818.38 | $2,951.21 |
Univera Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,818.38 | $2,951.21 | $2,951.21 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Highmark BCBS Setting Facility Modifier JW · Drug discarded Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | JW · Drug discarded | $2,691.53 | $2,691.53 | $2,691.53 |
Where New York sits
Rates are fairly even across states for this service. 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· 29th of 51
$2,884
AK $3,548UT $2,884
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.