How much rates vary
Facilitymedian $661 · 10th to 90th $562 to $1,230Professionalmedian $676 · 10th to 90th $468 to $1,259
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 $380.19 Median $467.74 Typical High $501.19 | Facility | None | $380.19 | $467.74 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,122.02 | Professional | None | $467.74 | $467.74 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $676.08 Typical High $1,318.26 | Facility | None | $660.69 | $676.08 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,819.70 | Professional | None | $691.83 | $691.83 | $1,819.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $147.91 | Professional | RR · Rental | $69.18 | $69.18 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $512.86 Typical High $912.01 | Professional | UE · Used equipment | $512.86 | $512.86 | $912.01 |
CDPHP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $1,584.89 | Facility | None | $660.69 | $870.96 | $1,584.89 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,174.90 | Professional | None | $436.52 | $691.83 | $1,174.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Excellus BCBS Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $724.44 | Professional | None | $562.34 | $676.08 | $724.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
MVP Health Care Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
MVP Health Care Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,174.90 | Professional | None | $630.96 | $630.96 | $1,174.90 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Facility | None | $954.99 | $954.99 | $1,258.93 |
United Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $776.25 | Professional | None | $354.81 | $549.54 | $776.25 |
Univera Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $676.08 | Facility | None | $562.34 | $562.34 | $676.08 |
Univera Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $724.44 | Professional | None | $562.34 | $676.08 | $724.44 |
4 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 $229.09 Median $229.09 Typical High $251.19 | Professional | 52 · Reduced service | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $50.12 |
Where New York sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 16th of 51
$676
KS $1,000UT $457
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.