How much rates vary
Facilitymedian $759 · 10th to 90th $741 to $2,344Professionalmedian $794 · 10th to 90th $537 to $1,950
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 $870.96 | Professional | None (both parts) | $602.56 | $602.56 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,445.44 Typical High $2,818.38 | Facility | None | $1,412.54 | $1,445.44 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $2,398.83 | Professional | None (both parts) | $630.96 | $630.96 | $2,398.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $63.10 Median $63.10 Typical High $134.90 | Professional | RR · Rental | $63.10 | $63.10 | $134.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $851.14 | Professional | UE · Used equipment | $467.74 | $467.74 | $851.14 |
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 $741.31 Median $741.31 Typical High $794.33 | Facility | None | $741.31 | $741.31 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Emblem Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $5,128.61 | Facility | None | $1,412.54 | $2,344.23 | $5,128.61 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,412.54 Typical High $2,511.89 | Professional | None (both parts) | $912.01 | $1,412.54 | $2,511.89 |
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 |
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 $831.76 Median $831.76 Typical High $2,089.30 | Professional | None (both parts) | $831.76 | $831.76 | $2,089.30 |
United Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,698.24 | Facility | None | $691.83 | $933.25 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $741.31 Typical High $977.24 | Professional | None (both parts) | $457.09 | $741.31 | $977.24 |
Univera Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $870.96 | Facility | None | $758.58 | $758.58 | $870.96 |
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 $302.00 Median $302.00 Typical High $436.52 | Professional | 52 · Reduced service | $302.00 | $302.00 | $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 $91.20 Median $91.20 Typical High $131.83 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $131.83 |
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 $64.57 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $93.33 | $123.03 |
Where New York sits
The same service costs 4.2 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· 19th of 51
$794
HI $2,239FL $537
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.