How much rates vary
Facilitymedian $1,023 · 10th to 90th $933 to $2,754Professionalmedian $977 · 10th to 90th $794 to $2,399
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 $602.56 Median $707.95 Typical High $1,023.29 | Facility | None | $602.56 | $707.95 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,023.29 | Professional | None | $707.95 | $707.95 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,659.59 | $1,698.24 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,884.03 | Professional | None | $912.01 | $912.01 | $2,884.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $194.98 | Professional | RR · Rental | $91.20 | $91.20 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $1,202.26 | Professional | UE · Used equipment | $676.08 | $676.08 | $1,202.26 |
CDPHP Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,380.38 | Facility | None | $1,230.27 | $1,230.27 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $1,659.59 Median $2,754.23 Typical High $6,025.60 | Facility | None | $1,659.59 | $2,754.23 | $6,025.60 |
Emblem Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,737.80 | $2,951.21 |
Excellus BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,380.38 | Professional | None | $933.25 | $977.24 | $1,380.38 |
MVP Health Care Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
MVP Health Care Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,454.71 | Professional | None | $977.24 | $977.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,041.74 Typical High $2,630.27 | Facility | None | $851.14 | $2,041.74 | $2,630.27 |
United Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,148.15 | Professional | None | $549.54 | $1,000.00 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Facility | None | $933.25 | $933.25 | $1,023.29 |
Univera Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,380.38 | Professional | None | $933.25 | $977.24 | $1,380.38 |
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 $354.81 Median $354.81 Typical High $512.86 | Professional | 52 · Reduced service | $354.81 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | 53 · Discontinued | $141.25 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $102.33 |
Where New York sits
The same service costs 2.1 times more in Wisconsin 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· 29th of 51
$977
WI $1,820FL $871
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.