How much rates vary
Facilitymedian $1,096 · 10th to 90th $741 to $2,455Professionalmedian $871 · 10th to 90th $589 to $2,042
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 $489.78 Median $630.96 Typical High $912.01 | Facility | None | $489.78 | $630.96 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $630.96 | $630.96 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,951.21 | Facility | None | $1,479.11 | $1,513.56 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $2,511.89 | Professional | None (both parts) | $741.31 | $741.31 | $2,511.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $154.88 | Professional | RR · Rental | $70.79 | $70.79 | $154.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $954.99 | Professional | UE · Used equipment | $537.03 | $537.03 | $954.99 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
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 $1,479.11 Median $2,454.71 Typical High $5,370.32 | Facility | None | $1,479.11 | $2,454.71 | $5,370.32 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,548.82 Typical High $2,630.27 | Professional | None (both parts) | $954.99 | $1,548.82 | $2,630.27 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,202.26 |
MVP Health Care Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $2,187.76 | Professional | None (both parts) | $870.96 | $870.96 | $2,187.76 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,905.46 | Facility | None | $776.25 | $912.01 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $776.25 Typical High $1,047.13 | Professional | None (both parts) | $478.63 | $776.25 | $1,047.13 |
Univera Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,096.48 | Facility | None | $870.96 | $1,096.48 | $1,096.48 |
Univera Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,202.26 |
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 $316.23 Median $316.23 Typical High $457.09 | Professional | 52 · Reduced service | $316.23 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | 53 · Discontinued | $125.89 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $138.04 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $97.72 | $128.82 |
Highmark BCBS Setting Professional Modifier KX · Policy requirements met Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | KX · Policy requirements met | $1,174.90 | $1,174.90 | $1,174.90 |
Where New York sits
The same service costs 4.6 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· 21st of 51
$871
HI $2,455DE $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.