How much rates vary
Facilitymedian $776 · 10th to 90th $575 to $2,291Professionalmedian $794 · 10th to 90th $575 to $1,905
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 $478.63 Median $562.34 Typical High $812.83 | Facility | None | $478.63 | $562.34 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $812.83 | Professional | None | $562.34 | $562.34 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $2,630.27 | Facility | None | $1,318.26 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $2,290.87 | Professional | None | $794.33 | $794.33 | $2,290.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $169.82 | Professional | RR · Rental | $79.43 | $79.43 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $1,047.13 | Professional | UE · Used equipment | $588.84 | $588.84 | $1,047.13 |
CDPHP Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $4,786.30 | Facility | None | $1,318.26 | $2,187.76 | $4,786.30 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $2,344.23 | Professional | None | $851.14 | $1,230.27 | $2,344.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,071.52 | Professional | None | $575.44 | $776.25 | $1,071.52 |
MVP Health Care Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
MVP Health Care Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,905.46 | Professional | None | $776.25 | $776.25 | $1,905.46 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $2,089.30 | Facility | None | $575.44 | $676.08 | $2,089.30 |
United Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $1,000.00 | Professional | None | $426.58 | $794.33 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Facility | None | $575.44 | $575.44 | $776.25 |
Univera Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,071.52 | Professional | None | $575.44 | $776.25 | $1,071.52 |
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 $281.84 Median $281.84 Typical High $407.38 | Professional | 52 · Reduced service | $281.84 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | 53 · Discontinued | $112.20 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $81.28 |
Where New York sits
The same service costs 2.3 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· 37th of 51
$794
HI $1,514DE $661
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.