How much rates vary
Facilitymedian $1,148 · 10th to 90th $912 to $3,162Professionalmedian $1,096 · 10th to 90th $871 to $2,692
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 $630.96 Median $794.33 Typical High $1,148.15 | Facility | None | $630.96 | $794.33 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,148.15 | Professional | None (both parts) | $794.33 | $794.33 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $3,715.35 | Facility | None | $1,862.09 | $1,905.46 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $3,235.94 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $3,235.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $234.42 | Professional | RR · Rental | $109.65 | $109.65 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $1,445.44 | Professional | UE · Used equipment | $812.83 | $812.83 | $1,445.44 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Emblem Health Setting Facility Modifier None Typical Low $1,862.09 Median $3,090.30 Typical High $6,760.83 | Facility | None | $1,862.09 | $3,090.30 | $6,760.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,995.26 Typical High $3,311.31 | Professional | None (both parts) | $1,230.27 | $1,995.26 | $3,311.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $912.01 | $1,096.48 | $1,513.56 |
MVP Health Care Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $2,754.23 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,884.03 | Facility | None | $1,000.00 | $1,174.90 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $977.24 Typical High $1,380.38 | Professional | None (both parts) | $616.60 | $977.24 | $1,380.38 |
Univera Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Facility | None | $912.01 | $912.01 | $1,096.48 |
Univera Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $912.01 | $1,096.48 | $1,513.56 |
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 $398.11 Median $398.11 Typical High $575.44 | Professional | 52 · Reduced service | $398.11 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $229.09 | Professional | 53 · Discontinued | $158.49 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $173.78 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $114.82 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $123.03 | $162.18 |
Where New York sits
The same service costs 2.7 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· 33rd of 51
$1,096
HI $2,630FL $977
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.