How much rates vary
Facilitymedian $1,096 · 10th to 90th $617 to $2,291Professionalmedian $676 · 10th to 90th $468 to $1,514
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 $389.05 Median $467.74 Typical High $676.08 | Facility | None | $389.05 | $467.74 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $676.08 | Professional | None | $467.74 | $467.74 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,122.02 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $1,862.09 | Professional | None | $660.69 | $676.08 | $1,862.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | RR · Rental | $66.07 | $66.07 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $891.25 | Professional | UE · Used equipment | $489.78 | $489.78 | $891.25 |
CDPHP Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $3,981.07 | Facility | None | $1,096.48 | $1,819.70 | $3,981.07 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,949.84 | Professional | None | $707.95 | $1,148.15 | $1,949.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | None | $691.83 | $741.31 | $891.25 |
MVP Health Care Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,621.81 | Professional | None | $660.69 | $660.69 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,737.80 | Facility | None | $1,348.96 | $1,348.96 | $1,737.80 |
United Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $812.83 | Professional | None | $354.81 | $575.44 | $812.83 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Facility | None | $691.83 | $691.83 | $724.44 |
Univera Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | None | $691.83 | $741.31 | $891.25 |
4 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 $234.42 Median $234.42 Typical High $338.84 | Professional | 52 · Reduced service | $234.42 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | 53 · Discontinued | $93.33 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $67.61 |
Where New York sits
The same service costs 2.6 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· 24th of 51
$676
HI $1,175DE $447
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.