How much rates vary
Facilitymedian $363 · 10th to 90th $295 to $1,000Professionalmedian $355 · 10th to 90th $263 to $851
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 $218.78 Median $257.04 Typical High $371.54 | Facility | None | $218.78 | $257.04 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | None | $257.04 | $257.04 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $616.60 Typical High $1,202.26 | Facility | None | $602.56 | $616.60 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,023.29 | Professional | None | $316.23 | $316.23 | $1,023.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $69.18 | Professional | RR · Rental | $31.62 | $31.62 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $426.58 | Professional | UE · Used equipment | $234.42 | $234.42 | $426.58 |
CDPHP Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $2,187.76 | Facility | None | $602.56 | $1,000.00 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $630.96 Typical High $1,071.52 | Professional | None | $389.05 | $630.96 | $1,071.52 |
Excellus BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $489.78 | Professional | None | $295.12 | $354.81 | $489.78 |
MVP Health Care Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
MVP Health Care Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $870.96 | Professional | None | $354.81 | $354.81 | $870.96 |
United Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $851.14 | Facility | None | $346.74 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $407.38 | Professional | None | $194.98 | $363.08 | $407.38 |
Univera Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Facility | None | $295.12 | $295.12 | $354.81 |
Univera Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $489.78 | Professional | None | $295.12 | $354.81 | $489.78 |
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 $128.82 Median $128.82 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $37.15 |
Where New York sits
The same service costs 3.7 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· 27th of 51
$355
HI $977DE $263
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.