How much rates vary
Facilitymedian $1,096 · 10th to 90th $933 to $2,692Professionalmedian $977 · 10th to 90th $692 to $2,138
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 $575.44 Median $676.08 Typical High $977.24 | Facility | None | $575.44 | $676.08 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $977.24 | Professional | None | $676.08 | $676.08 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $3,162.28 | Facility | None | $1,584.89 | $1,621.81 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $2,691.53 | Professional | None | $954.99 | $977.24 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $208.93 | Professional | RR · Rental | $95.50 | $95.50 | $208.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $1,288.25 | Professional | UE · Used equipment | $707.95 | $707.95 | $1,288.25 |
CDPHP Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Facility | None | $954.99 | $954.99 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $5,754.40 | Facility | None | $1,584.89 | $2,630.27 | $5,754.40 |
Emblem Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,584.89 | $2,818.38 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,288.25 | Professional | None | $933.25 | $1,096.48 | $1,288.25 |
MVP Health Care Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
MVP Health Care Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,290.87 | Professional | None | $954.99 | $954.99 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Facility | None | $1,949.84 | $1,949.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $1,096.48 | Professional | None | $512.86 | $954.99 | $1,096.48 |
Univera Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Facility | None | $933.25 | $1,096.48 | $1,096.48 |
Univera Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,288.25 | Professional | None | $933.25 | $1,096.48 | $1,288.25 |
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 $338.84 Median $338.84 Typical High $489.78 | Professional | 52 · Reduced service | $338.84 | $338.84 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | 53 · Discontinued | $134.90 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $97.72 |
Where New York sits
The same service costs 2.4 times more in Montana 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· 25th of 51
$977
MT $1,660DE $692
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.