How much rates vary
Facilitymedian $4,074 · 10th to 90th $3,020 to $10,715Professionalmedian $3,802 · 10th to 90th $3,020 to $9,120
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 $2,290.87 Median $2,691.53 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,691.53 | $2,691.53 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $6,456.54 Typical High $12,589.25 | Facility | None | $6,309.57 | $6,456.54 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $10,964.78 | Professional | None | $3,801.89 | $3,801.89 | $10,964.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $831.76 | Professional | RR · Rental | $380.19 | $380.19 | $831.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $5,128.61 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $5,128.61 |
CDPHP Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,248.07 | Facility | None | $4,897.79 | $4,897.79 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Emblem Health Setting Facility Modifier None Typical Low $6,309.57 Median $10,471.29 Typical High $22,908.68 | Facility | None | $6,309.57 | $10,471.29 | $22,908.68 |
Emblem Health Setting Professional Modifier None Typical Low $4,073.80 Median $6,606.93 Typical High $11,220.18 | Professional | None | $4,073.80 | $6,606.93 | $11,220.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $5,128.61 | Professional | None | $3,019.95 | $3,715.35 | $5,128.61 |
MVP Health Care Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
MVP Health Care Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $9,120.11 | Professional | None | $3,715.35 | $3,715.35 | $9,120.11 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $10,000.00 | Facility | None | $4,073.80 | $5,370.32 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $3,801.89 Typical High $4,786.30 | Professional | None | $2,041.74 | $3,801.89 | $4,786.30 |
Univera Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,715.35 | Facility | None | $3,019.95 | $3,019.95 | $3,715.35 |
Univera Setting Professional Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $5,128.61 | Professional | None | $3,019.95 | $3,715.35 | $5,128.61 |
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 $1,348.96 Median $1,348.96 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $776.25 | Professional | 53 · Discontinued | $537.03 | $537.03 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $588.84 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $389.05 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $389.05 |
Where New York sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 32nd of 51
$3,802
HI $11,482DC $3,311
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.