How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,288 to $4,266Professionalmedian $1,349 · 10th to 90th $1,096 to $3,236
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 $851.14 Median $1,096.48 Typical High $1,584.89 | Facility | None | $851.14 | $1,096.48 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,584.89 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,630.27 Typical High $5,128.61 | Facility | None | $2,570.40 | $2,630.27 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,174.90 Typical High $4,365.16 | Professional | None (both parts) | $1,148.15 | $1,174.90 | $4,365.16 |
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 $1,513.56 | Professional | UE · Used equipment | $851.14 | $851.14 | $1,513.56 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Facility | None | $1,288.25 | $1,288.25 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Emblem Health Setting Facility Modifier None Typical Low $2,570.40 Median $4,265.80 Typical High $9,332.54 | Facility | None | $2,570.40 | $4,265.80 | $9,332.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,570.40 Typical High $4,570.88 | Professional | None (both parts) | $1,659.59 | $2,570.40 | $4,570.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,778.28 Typical High $2,089.30 | Professional | None (both parts) | $1,513.56 | $1,778.28 | $2,089.30 |
MVP Health Care Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $3,715.35 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $3,090.30 | Facility | None | $1,258.93 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,318.26 Typical High $1,778.28 | Professional | None (both parts) | $831.76 | $1,318.26 | $1,778.28 |
Univera Setting Facility Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,513.56 | $1,778.28 | $1,778.28 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,778.28 Typical High $2,089.30 | Professional | None (both parts) | $1,513.56 | $1,778.28 | $2,089.30 |
6 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 $549.54 Median $549.54 Typical High $794.33 | Professional | 52 · Reduced service | $549.54 | $549.54 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | 53 · Discontinued | $218.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $239.88 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $158.49 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $169.82 | $218.78 |
Highmark BCBS Setting Professional Modifier KX · Policy requirements met Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | KX · Policy requirements met | $2,041.74 | $2,041.74 | $2,041.74 |
Where New York sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 19th of 51
$1,445
HI $3,020AL $933
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.