How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,820 to $6,607Professionalmedian $2,344 · 10th to 90th $1,698 to $5,370
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 $1,412.54 Median $1,698.24 Typical High $2,454.71 | Facility | None | $1,412.54 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,698.24 | $1,698.24 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $4,073.80 Typical High $7,943.28 | Facility | None | $3,981.07 | $4,073.80 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $6,760.83 | Professional | None | $1,778.28 | $1,778.28 | $6,760.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $380.19 | Professional | RR · Rental | $177.83 | $177.83 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $2,344.23 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $2,344.23 |
CDPHP Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Emblem Health Setting Facility Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $14,454.40 | Facility | None | $3,981.07 | $6,606.93 | $14,454.40 |
Emblem Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,079.46 | Professional | None | $2,570.40 | $3,981.07 | $7,079.46 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,630.27 | $3,235.94 |
MVP Health Care Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,754.40 | Professional | None | $2,290.87 | $2,290.87 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $4,786.30 | Facility | None | $1,778.28 | $2,041.74 | $4,786.30 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,288.25 | $2,187.76 | $2,570.40 |
Univera Setting Facility Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,344.23 | $2,630.27 | $2,630.27 |
Univera Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,630.27 | $3,235.94 |
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 $851.14 Median $851.14 Typical High $1,230.27 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $489.78 | Professional | 53 · Discontinued | $338.84 | $338.84 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $245.47 |
Where New York sits
The same service costs 3.1 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· 17th of 51
$2,344
HI $4,074DE $1,318
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.