How much rates vary
Facilitymedian $562 · 10th to 90th $380 to $1,318Professionalmedian $468 · 10th to 90th $339 to $1,096
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 $288.40 Median $338.84 Typical High $489.78 | Facility | None | $288.40 | $338.84 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $489.78 | Professional | None | $338.84 | $338.84 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $1,584.89 | Facility | None | $794.33 | $812.83 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,348.96 | Professional | None | $363.08 | $363.08 | $1,348.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $77.62 | Professional | RR · Rental | $35.48 | $35.48 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $478.63 | Professional | UE · Used equipment | $269.15 | $269.15 | $478.63 |
CDPHP Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,884.03 | Facility | None | $794.33 | $1,318.26 | $2,884.03 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $1,412.54 | Professional | None | $512.86 | $794.33 | $1,412.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Excellus BCBS Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $645.65 | Professional | None | $467.74 | $562.34 | $645.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
MVP Health Care 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 |
MVP Health Care Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,174.90 | Professional | None | $467.74 | $467.74 | $1,174.90 |
United Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $954.99 | Facility | None | $346.74 | $389.05 | $954.99 |
United Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $524.81 | Professional | None | $257.04 | $436.52 | $524.81 |
Univera Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $562.34 | Facility | None | $467.74 | $562.34 | $562.34 |
Univera Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $645.65 | Professional | None | $467.74 | $562.34 | $645.65 |
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 $169.82 Median $169.82 Typical High $245.47 | Professional | 52 · Reduced service | $169.82 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | 53 · Discontinued | $67.61 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $48.98 |
Where New York sits
The same service costs 3.2 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· 15th of 51
$468
HI $871DE $275
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.