How much rates vary
Facilitymedian $339 · 10th to 90th $309 to $759Professionalmedian $331 · 10th to 90th $229 to $646
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 $181.97 Median $223.87 Typical High $251.19 | Facility | None | $181.97 | $223.87 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | None | $223.87 | $223.87 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $346.74 Typical High $676.08 | Facility | None | $338.84 | $346.74 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $891.25 | Professional | None | $331.13 | $331.13 | $891.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | RR · Rental | $33.11 | $33.11 | $70.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $436.52 | Professional | UE · Used equipment | $245.47 | $245.47 | $436.52 |
CDPHP Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $407.38 | Facility | None | $380.19 | $380.19 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Emblem Health Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $1,230.27 | Facility | None | $338.84 | $562.34 | $1,230.27 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $602.56 | Professional | None | $218.78 | $363.08 | $602.56 |
Excellus BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $346.74 | Professional | None | $309.03 | $323.59 | $346.74 |
MVP Health Care Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $575.44 | Professional | None | $316.23 | $316.23 | $575.44 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Facility | None | $933.25 | $933.25 | $1,202.26 |
United Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $389.05 | Professional | None | $169.82 | $275.42 | $389.05 |
Univera Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $323.59 | Facility | None | $309.03 | $309.03 | $323.59 |
Univera Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $346.74 | Professional | None | $309.03 | $323.59 | $346.74 |
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 $112.20 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $25.12 |
Where New York sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 17th of 51
$331
HI $661UT $224
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.