How much rates vary
Facilitymedian $912 · 10th to 90th $759 to $2,239Professionalmedian $776 · 10th to 90th $617 to $1,905
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 $446.68 Median $575.44 Typical High $831.76 | Facility | None | $446.68 | $575.44 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $575.44 | $575.44 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,691.53 | Facility | None | $1,348.96 | $1,348.96 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $2,344.23 | Professional | None (both parts) | $776.25 | $776.25 | $2,344.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $165.96 | Professional | RR · Rental | $77.62 | $77.62 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $1,047.13 | Professional | UE · Used equipment | $575.44 | $575.44 | $1,047.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Emblem Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $4,786.30 | Facility | None | $1,348.96 | $2,187.76 | $4,786.30 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,412.54 Typical High $2,344.23 | Professional | None (both parts) | $870.96 | $1,412.54 | $2,344.23 |
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 $794.33 Typical High $1,096.48 | Professional | None (both parts) | $758.58 | $794.33 | $1,096.48 |
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 $776.25 Median $776.25 Typical High $1,949.84 | Professional | None (both parts) | $776.25 | $776.25 | $1,949.84 |
United Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $2,089.30 | Facility | None | $851.14 | $977.24 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $436.52 | $691.83 | $977.24 |
Univera Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $812.83 | Facility | None | $758.58 | $758.58 | $812.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $758.58 Median $794.33 Typical High $1,096.48 | Professional | None (both parts) | $758.58 | $794.33 | $1,096.48 |
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 $281.84 Median $281.84 Typical High $416.87 | Professional | 52 · Reduced service | $281.84 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $165.96 | Professional | 53 · Discontinued | $114.82 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $83.18 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $89.13 | $114.82 |
Where New York sits
The same service costs 3.5 times more in Hawaii 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· 30th of 51
$776
HI $2,399FL $676
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.