How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,413 to $5,370Professionalmedian $1,905 · 10th to 90th $1,413 to $4,571
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 $1,174.90 Median $1,380.38 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,380.38 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,380.38 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,311.31 Typical High $6,456.54 | Facility | None | $3,235.94 | $3,311.31 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $5,495.41 | Professional | None | $1,698.24 | $1,698.24 | $5,495.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $371.54 | Professional | RR · Rental | $169.82 | $169.82 | $371.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $2,290.87 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $2,290.87 |
CDPHP Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Emblem Health Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $11,748.98 | Facility | None | $3,235.94 | $5,370.32 | $11,748.98 |
Emblem Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,754.40 | Professional | None | $2,089.30 | $3,388.44 | $5,754.40 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,905.46 | $2,630.27 |
MVP Health Care Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
MVP Health Care Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,786.30 | Professional | None | $1,905.46 | $1,905.46 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,905.46 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,949.84 | $2,238.72 |
Univera Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,905.46 | Facility | None | $1,412.54 | $1,412.54 | $1,905.46 |
Univera Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,905.46 | $2,630.27 |
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 $691.83 Median $691.83 Typical High $1,000.00 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $398.11 | Professional | 53 · Discontinued | $275.42 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $302.00 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $199.53 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $199.53 |
Where New York sits
The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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
$1,905
HI $4,677PA $1,514
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.