How much rates vary
Facilitymedian $1,202 · 10th to 90th $1,047 to $3,020Professionalmedian $1,072 · 10th to 90th $871 to $2,630
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 $645.65 Median $758.58 Typical High $1,096.48 | Facility | None | $645.65 | $758.58 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,096.48 | Professional | None | $758.58 | $758.58 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $3,548.13 | Facility | None | $1,778.28 | $1,819.70 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,071.52 | $3,162.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $229.09 | Professional | RR · Rental | $107.15 | $107.15 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $1,445.44 | Professional | UE · Used equipment | $794.33 | $794.33 | $1,445.44 |
CDPHP Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Emblem Health Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $6,456.54 | Facility | None | $1,778.28 | $2,951.21 | $6,456.54 |
Emblem Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,905.46 | $3,162.28 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,202.26 | $1,445.44 |
MVP Health Care Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
MVP Health Care Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,047.13 | $2,630.27 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $2,884.03 | Facility | None | $933.25 | $1,047.13 | $2,884.03 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $1,348.96 | Professional | None | $575.44 | $1,071.52 | $1,348.96 |
Univera Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,202.26 | $1,202.26 |
Univera Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,202.26 | $1,445.44 |
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 $380.19 Median $380.19 Typical High $549.54 | Professional | 52 · Reduced service | $380.19 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | 53 · Discontinued | $151.36 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $165.96 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $109.65 |
Where New York sits
The same service costs 2.5 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· 33rd of 51
$1,072
HI $2,291DC $933
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.