How much rates vary
Facilitymedian $1,202 · 10th to 90th $891 to $2,630Professionalmedian $891 · 10th to 90th $692 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 $537.03 Median $691.83 Typical High $1,000.00 | Facility | None | $537.03 | $691.83 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,000.00 | Professional | None (both parts) | $691.83 | $691.83 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,621.81 | $1,659.59 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $851.14 Typical High $2,754.23 | Professional | None (both parts) | $831.76 | $851.14 | $2,754.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $177.83 | Professional | RR · Rental | $83.18 | $83.18 | $177.83 |
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Emblem Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $5,888.44 | Facility | None | $1,621.81 | $2,630.27 | $5,888.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,698.24 Typical High $2,884.03 | Professional | None (both parts) | $1,047.13 | $1,698.24 | $2,884.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,202.26 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $1,202.26 | $1,318.26 |
MVP Health Care Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $2,344.23 | Professional | None (both parts) | $933.25 | $933.25 | $2,344.23 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $2,238.72 | Facility | None | $851.14 | $870.96 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $831.76 Typical High $1,148.15 | Professional | None (both parts) | $524.81 | $831.76 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Facility | None | $954.99 | $1,202.26 | $1,202.26 |
Univera Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,202.26 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $1,202.26 | $1,318.26 |
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 $346.74 Median $346.74 Typical High $501.19 | Professional | 52 · Reduced service | $346.74 | $346.74 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $199.53 | Professional | 53 · Discontinued | $138.04 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $107.15 | $138.04 |
Where New York sits
The same service costs 3.0 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· 22nd of 51
$912
HI $1,905DE $646
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.