How much rates vary
Facilitymedian $457 · 10th to 90th $331 to $1,175Professionalmedian $427 · 10th to 90th $309 to $977
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 $257.04 Median $309.03 Typical High $446.68 | Facility | None | $257.04 | $309.03 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $446.68 | Professional | None | $309.03 | $309.03 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,445.44 | Facility | None | $724.44 | $724.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,202.26 | Professional | None | $331.13 | $331.13 | $1,202.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $69.18 | Professional | RR · Rental | $32.36 | $32.36 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $426.58 | Professional | UE · Used equipment | $239.88 | $239.88 | $426.58 |
CDPHP Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Facility | None | $331.13 | $331.13 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Emblem Health Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,570.40 | Facility | None | $724.44 | $1,174.90 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $1,258.93 | Professional | None | $467.74 | $758.58 | $1,258.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $588.84 | Professional | None | $426.58 | $457.09 | $588.84 |
Highmark BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
MVP Health Care Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
MVP Health Care Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $1,047.13 | Professional | None | $416.87 | $416.87 | $1,047.13 |
United Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $851.14 | Facility | None | $218.78 | $263.03 | $851.14 |
United Setting Professional Modifier None Typical Low $234.42 Median $398.11 Typical High $467.74 | Professional | None | $234.42 | $398.11 | $467.74 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $457.09 Typical High $457.09 | Facility | None | $426.58 | $457.09 | $457.09 |
Univera Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $588.84 | Professional | None | $426.58 | $457.09 | $588.84 |
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 $151.36 Median $151.36 Typical High $223.87 | Professional | 52 · Reduced service | $151.36 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $66.07 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $44.67 |
Where New York sits
The same service costs 2.4 times more in Arkansas than in Florida. 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· 15th of 51
$427
AR $603FL $251
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.