How much rates vary
Facilitymedian $339 · 10th to 90th $295 to $955Professionalmedian $324 · 10th to 90th $245 to $794
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 $186.21 Median $239.88 Typical High $346.74 | Facility | None | $186.21 | $239.88 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $239.88 | $239.88 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $575.44 Typical High $1,122.02 | Facility | None | $562.34 | $575.44 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $977.24 | Professional | None (both parts) | $323.59 | $323.59 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $69.18 | Professional | RR · Rental | $32.36 | $32.36 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $436.52 | Professional | UE · Used equipment | $239.88 | $239.88 | $436.52 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Emblem Health Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $2,041.74 | Facility | None | $562.34 | $933.25 | $2,041.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $588.84 | $1,000.00 |
Excellus BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $295.12 | $331.13 | $457.09 |
MVP Health Care Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $812.83 | Professional | None (both parts) | $331.13 | $331.13 | $812.83 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $870.96 | Facility | None | $354.81 | $407.38 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $181.97 | $288.40 | $407.38 |
Univera Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $346.74 | Facility | None | $295.12 | $295.12 | $346.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $295.12 | $331.13 | $457.09 |
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 $120.23 Median $120.23 Typical High $173.78 | Professional | 52 · Reduced service | $120.23 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | 53 · Discontinued | $47.86 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $34.67 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $34.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $37.15 | $47.86 |
Where New York sits
The same service costs 4.2 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· 35th of 51
$324
HI $1,023DE $245
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.