How much rates vary
Facilitymedian $81 · 10th to 90th $45 to $229Professionalmedian $79 · 10th to 90th $58 to $186
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 $45.71 Median $57.54 Typical High $83.18 | Facility | None | $45.71 | $57.54 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $57.54 | $57.54 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $138.04 Typical High $269.15 | Facility | None | $134.90 | $138.04 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $229.09 | Professional | None (both parts) | $77.62 | $81.28 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $7.76 Typical High $16.98 | Professional | RR · Rental | $7.76 | $7.76 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | UE · Used equipment | $58.88 | $58.88 | $104.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $87.10 | Facility | None | $81.28 | $81.28 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Emblem Health Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $489.78 | Facility | None | $134.90 | $223.87 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $89.13 | $134.90 | $239.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $44.67 | $79.43 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $199.53 | Professional | None (both parts) | $79.43 | $79.43 | $199.53 |
United Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $208.93 | Facility | None | $79.43 | $85.11 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $44.67 | $70.79 | $100.00 |
Univera Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $79.43 | Facility | None | $44.67 | $44.67 | $79.43 |
Univera Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $44.67 | $79.43 | $112.20 |
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 $28.84 Median $28.84 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $16.98 | Professional | 53 · Discontinued | $11.48 | $11.48 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $12.59 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $8.32 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $6.17 | $8.91 | $11.75 |
Where New York sits
The same service costs 5.1 times more in Kansas than in Florida. 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· 31st of 51
$79.43
KS $309FL $60.26
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.