How much rates vary
Facilitymedian $912 · 10th to 90th $603 to $2,399Professionalmedian $832 · 10th to 90th $603 to $2,042
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 $501.19 Median $602.56 Typical High $870.96 | Facility | None | $501.19 | $602.56 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $870.96 | Professional | None | $602.56 | $602.56 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,445.44 Typical High $2,818.38 | Facility | None | $1,412.54 | $1,445.44 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $2,454.71 | Professional | None | $831.76 | $831.76 | $2,454.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $181.97 | Professional | RR · Rental | $83.18 | $83.18 | $181.97 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $1,122.02 | Professional | UE · Used equipment | $630.96 | $630.96 | $1,122.02 |
CDPHP Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $5,011.87 | Facility | None | $1,412.54 | $2,290.87 | $5,011.87 |
Emblem Health Setting Professional Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,454.71 | Professional | None | $912.01 | $1,479.11 | $2,454.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Excellus BCBS Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,148.15 | Professional | None | $602.56 | $831.76 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
MVP Health Care Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $2,041.74 | Professional | None | $812.83 | $812.83 | $2,041.74 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,238.72 | Facility | None | $912.01 | $1,000.00 | $2,238.72 |
United Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $1,047.13 | Professional | None | $457.09 | $831.76 | $1,047.13 |
Univera Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Facility | None | $602.56 | $602.56 | $831.76 |
Univera Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,148.15 | Professional | None | $602.56 | $831.76 | $1,148.15 |
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 $302.00 Median $302.00 Typical High $436.52 | Professional | 52 · Reduced service | $302.00 | $302.00 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $173.78 | Professional | 53 · Discontinued | $120.23 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $87.10 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $87.10 |
Where New York sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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· 37th of 51
$832
HI $2,344NJ $759
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.