How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,479 to $4,074Professionalmedian $1,479 · 10th to 90th $1,122 to $3,548
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 $812.83 Median $1,023.29 Typical High $1,479.11 | Facility | None | $812.83 | $1,023.29 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,479.11 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $4,786.30 | Facility | None | $2,398.83 | $2,454.71 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $4,365.16 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $4,365.16 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $338.84 | Professional | RR · Rental | $147.91 | $147.91 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,995.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,995.26 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
Emblem Health Setting Facility Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $8,709.64 | Facility | None | $2,398.83 | $3,981.07 | $8,709.64 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,570.40 Typical High $4,265.80 | Professional | None (both parts) | $1,584.89 | $2,570.40 | $4,265.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,479.11 Typical High $1,949.84 | Professional | None (both parts) | $1,412.54 | $1,479.11 | $1,949.84 |
MVP Health Care Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $3,548.13 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,801.89 | Facility | None | $1,584.89 | $1,659.59 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,258.93 Typical High $1,778.28 | Professional | None (both parts) | $794.33 | $1,258.93 | $1,778.28 |
Univera Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,479.11 | $1,479.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,479.11 Typical High $1,949.84 | Professional | None (both parts) | $1,412.54 | $1,479.11 | $1,949.84 |
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 $512.86 Median $512.86 Typical High $741.31 | Professional | 52 · Reduced service | $512.86 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | 53 · Discontinued | $204.17 | $204.17 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $158.49 | $208.93 |
Where New York sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 34th of 51
$1,479
HI $3,467DE $1,122
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.