How much rates vary
Facilitymedian $832 · 10th to 90th $832 to $2,570Professionalmedian $871 · 10th to 90th $631 to $2,188
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 $512.86 Median $660.69 Typical High $954.99 | Facility | None | $512.86 | $660.69 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $954.99 | Professional | None (both parts) | $660.69 | $660.69 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $3,090.30 | Facility | None | $1,548.82 | $1,584.89 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $2,691.53 | Professional | None (both parts) | $851.14 | $851.14 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $181.97 | Professional | RR · Rental | $83.18 | $83.18 | $181.97 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $1,122.02 | Professional | UE · Used equipment | $616.60 | $616.60 | $1,122.02 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $870.96 | Facility | None | $831.76 | $831.76 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $616.60 | $616.60 | $724.44 |
Emblem Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $5,623.41 | Facility | None | $1,548.82 | $2,570.40 | $5,623.41 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,548.82 Typical High $2,754.23 | Professional | None (both parts) | $1,000.00 | $1,548.82 | $2,754.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,258.93 | Professional | None (both parts) | $831.76 | $912.01 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
MVP Health Care 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 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $2,238.72 | Professional | None (both parts) | $912.01 | $912.01 | $2,238.72 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $2,041.74 | Facility | None | $630.96 | $794.33 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $501.19 | $812.83 | $1,096.48 |
Univera Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $954.99 | Facility | None | $831.76 | $831.76 | $954.99 |
Univera Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,258.93 | Professional | None (both parts) | $831.76 | $912.01 | $1,258.93 |
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 $331.13 Median $331.13 Typical High $478.63 | Professional | 52 · Reduced service | $331.13 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | 53 · Discontinued | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $144.54 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $97.72 | $134.90 |
Where New York sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 21st of 51
$871
HI $1,950DE $617
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.