How much rates vary
Facilitymedian $380 · 10th to 90th $234 to $851Professionalmedian $275 · 10th to 90th $219 to $646
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 $173.78 Median $218.78 Typical High $316.23 | Facility | None | $173.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $218.78 | $218.78 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $524.81 Typical High $1,023.29 | Facility | None | $512.86 | $524.81 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $870.96 | Professional | None (both parts) | $223.87 | $229.09 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $47.86 | Professional | RR · Rental | $22.39 | $22.39 | $47.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $295.12 | Professional | UE · Used equipment | $165.96 | $165.96 | $295.12 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Emblem Health Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,862.09 | Facility | None | $512.86 | $851.14 | $1,862.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $912.01 | Professional | None (both parts) | $331.13 | $512.86 | $912.01 |
Excellus BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $302.00 | $380.19 | $416.87 |
MVP Health Care Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $758.58 | Professional | None (both parts) | $302.00 | $302.00 | $758.58 |
United Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $616.60 | Facility | None | $251.19 | $380.19 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $169.82 | $269.15 | $354.81 |
Univera Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $380.19 | Facility | None | $302.00 | $380.19 | $380.19 |
Univera Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $302.00 | $380.19 | $416.87 |
6 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 $109.65 Median $109.65 Typical High $158.49 | Professional | 52 · Reduced service | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 53 · Discontinued | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $31.62 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $31.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $33.88 | $44.67 |
Highmark BCBS Setting Professional Modifier KX · Policy requirements met Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | KX · Policy requirements met | $407.38 | $407.38 | $407.38 |
Where New York sits
The same service costs 5.5 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· 17th of 51
$288
HI $955FL $174
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.