How much rates vary
Facilitymedian $372 · 10th to 90th $257 to $1,072Professionalmedian $457 · 10th to 90th $269 to $891
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 $229.09 Median $269.15 Typical High $389.05 | Facility | None | $229.09 | $269.15 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $389.05 | Professional | None | $269.15 | $269.15 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $645.65 Typical High $1,258.93 | Facility | None | $630.96 | $645.65 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $1,096.48 | Professional | None | $457.09 | $478.63 | $1,096.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $100.00 | Professional | RR · Rental | $45.71 | $45.71 | $100.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | UE · Used equipment | $346.74 | $346.74 | $616.60 |
CDPHP Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $436.52 | Facility | None | $389.05 | $389.05 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Emblem Health Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $2,290.87 | Facility | None | $630.96 | $1,047.13 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,122.02 | Professional | None | $416.87 | $676.08 | $1,122.02 |
Excellus BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $524.81 | Professional | None | $257.04 | $371.54 | $524.81 |
MVP Health Care Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
MVP Health Care Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $933.25 | Professional | None | $371.54 | $371.54 | $933.25 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $1,023.29 | Facility | None | $281.84 | $331.13 | $1,023.29 |
United Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $478.63 | Professional | None | $208.93 | $380.19 | $478.63 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $371.54 | Facility | None | $257.04 | $257.04 | $371.54 |
Univera Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $524.81 | Professional | None | $257.04 | $371.54 | $524.81 |
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 $134.90 Median $134.90 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $79.43 | Professional | 53 · Discontinued | $53.70 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $38.90 |
Where New York sits
The same service costs 2.6 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· 24th of 51
$457
HI $724DE $282
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.