How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,548 to $10,715Professionalmedian $3,631 · 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 $2,238.72 Median $2,630.27 Typical High $3,890.45 | Facility | None | $2,238.72 | $2,630.27 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,890.45 | Professional | None | $2,630.27 | $2,630.27 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $6,309.57 Typical High $12,589.25 | Facility | None | $6,165.95 | $6,309.57 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $10,964.78 | Professional | None | $3,630.78 | $3,630.78 | $10,964.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $794.33 | Professional | RR · Rental | $363.08 | $363.08 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $4,897.79 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $4,897.79 |
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 $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Emblem Health Setting Facility Modifier None Typical Low $6,165.95 Median $10,232.93 Typical High $22,387.21 | Facility | None | $6,165.95 | $10,232.93 | $22,387.21 |
Emblem Health Setting Professional Modifier None Typical Low $4,073.80 Median $6,606.93 Typical High $10,964.78 | Professional | None | $4,073.80 | $6,606.93 | $10,964.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $5,128.61 | Professional | None | $3,548.13 | $3,715.35 | $5,128.61 |
MVP Health Care Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
MVP Health Care Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $9,120.11 | Professional | None | $3,630.78 | $3,630.78 | $9,120.11 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $10,000.00 | Facility | None | $4,073.80 | $4,897.79 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $3,715.35 Typical High $4,677.35 | Professional | None | $2,041.74 | $3,715.35 | $4,677.35 |
Univera Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Univera Setting Professional Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $5,128.61 | Professional | None | $3,548.13 | $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 $1,318.26 Median $1,318.26 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,905.46 |
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 $398.11 Median $398.11 Typical High $575.44 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $389.05 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $389.05 |
Where New York sits
The same service costs 3.9 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· 33rd of 51
$3,631
HI $12,882DC $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.