How much rates vary
Facilitymedian $1,230 · 10th to 90th $1,096 to $3,090Professionalmedian $1,175 · 10th to 90th $871 to $2,630
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 $602.56 Median $776.25 Typical High $1,122.02 | Facility | None | $602.56 | $776.25 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,122.02 | Professional | None (both parts) | $776.25 | $776.25 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,630.78 | Facility | None | $1,819.70 | $1,819.70 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $3,235.94 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $3,235.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $245.47 | Professional | RR · Rental | $114.82 | $114.82 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $1,548.82 | Professional | UE · Used equipment | $851.14 | $851.14 | $1,548.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $6,456.54 | Facility | None | $1,819.70 | $2,951.21 | $6,456.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,905.46 Typical High $3,162.28 | Professional | None (both parts) | $1,174.90 | $1,905.46 | $3,162.28 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,230.27 Typical High $1,479.11 | Professional | None (both parts) | $1,071.52 | $1,230.27 | $1,479.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
MVP Health Care Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $2,630.27 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,884.03 | Facility | None | $1,174.90 | $1,479.11 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $933.25 Typical High $1,348.96 | Professional | None (both parts) | $588.84 | $933.25 | $1,348.96 |
Univera Setting Facility Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,071.52 | $1,230.27 | $1,230.27 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,230.27 Typical High $1,479.11 | Professional | None (both parts) | $1,071.52 | $1,230.27 | $1,479.11 |
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 $380.19 Median $380.19 Typical High $562.34 | Professional | 52 · Reduced service | $380.19 | $380.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | 53 · Discontinued | $154.88 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $165.96 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $112.20 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $120.23 | $154.88 |
Where New York sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 28th of 51
$1,175
HI $3,467PA $871
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.