How much rates vary
Facilitymedian $759 · 10th to 90th $708 to $2,291Professionalmedian $776 · 10th to 90th $537 to $1,995
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 $467.74 Median $602.56 Typical High $870.96 | Facility | None | $467.74 | $602.56 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $2,344.23 | Professional | None (both parts) | $602.56 | $602.56 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Facility | None | $1,412.54 | $1,412.54 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $2,344.23 | Professional | None (both parts) | $616.60 | $616.60 | $2,344.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $131.83 | Professional | RR · Rental | $61.66 | $61.66 | $131.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $831.76 | Professional | UE · Used equipment | $457.09 | $457.09 | $831.76 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $776.25 | Facility | None | $707.95 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $5,011.87 | Facility | None | $1,412.54 | $2,290.87 | $5,011.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,479.11 Typical High $2,454.71 | Professional | None (both parts) | $912.01 | $1,479.11 | $2,454.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $1,148.15 | Professional | None (both parts) | $758.58 | $831.76 | $1,148.15 |
Highmark BCBS 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 |
MVP Health Care Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $2,041.74 | Professional | None (both parts) | $812.83 | $812.83 | $2,041.74 |
United Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,659.59 | Facility | None | $478.63 | $691.83 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $977.24 | Professional | None (both parts) | $457.09 | $724.44 | $977.24 |
Univera Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $851.14 | Facility | None | $758.58 | $758.58 | $851.14 |
Univera Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $1,148.15 | Professional | None (both parts) | $758.58 | $831.76 | $1,148.15 |
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 $295.12 Median $295.12 Typical High $436.52 | Professional | 52 · Reduced service | $295.12 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $173.78 | Professional | 53 · Discontinued | $120.23 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $87.10 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $93.33 | $120.23 |
Where New York sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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
$776
HI $1,738MS $513
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.