How much rates vary
Facilitymedian $724 · 10th to 90th $513 to $1,585Professionalmedian $537 · 10th to 90th $417 to $1,288
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 $323.59 Median $416.87 Typical High $602.56 | Facility | None | $323.59 | $416.87 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $416.87 | $416.87 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,949.84 | Facility | None | $977.24 | $1,000.00 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $501.19 Typical High $1,659.59 | Professional | None (both parts) | $489.78 | $501.19 | $1,659.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $104.71 | Professional | RR · Rental | $48.98 | $48.98 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $660.69 | Professional | UE · Used equipment | $363.08 | $363.08 | $660.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Emblem Health Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $3,548.13 | Facility | None | $977.24 | $1,584.89 | $3,548.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $977.24 Typical High $1,737.80 | Professional | None (both parts) | $630.96 | $977.24 | $1,737.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $575.44 | $724.44 | $794.33 |
MVP Health Care Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,412.54 | Professional | None (both parts) | $562.34 | $562.34 | $1,412.54 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,348.96 | Facility | None | $478.63 | $549.54 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $691.83 | Professional | None (both parts) | $316.23 | $501.19 | $691.83 |
Univera Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $724.44 | Facility | None | $575.44 | $724.44 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $575.44 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $575.44 | $724.44 | $794.33 |
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 $208.93 Median $208.93 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $64.57 | $83.18 |
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· 23rd of 51
$550
HI $1,202DE $372
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.